Individual
CASSANDRA RENEE WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2228 JAMES ST, BELLINGHAM, WA 98225-4142
(360) 527-1030
Mailing address
2228 JAMES ST, BELLINGHAM, WA 98225-4142
(360) 527-1030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60055619
WA
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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