Individual
CARESSE WICHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5000
Mailing address
10707 N PARK AVE N, SEATTLE, WA 98133-8844
(916) 705-9623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60840832
WA
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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