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Individual

VICTORIA LYNN WENTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
18021 15TH AVENUE NE, SUITE 210, SHORELINE, WA 98155-3809
(206) 362-5255
(206) 362-5260
Mailing address
4435 PHINNEY AVE N APT 303, SEATTLE, WA 98103-7123
(206) 675-1528

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/05/2006
Last updated
07/08/2007
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