Individual
LAVINIA TEODORA WEISDEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4437 SOUNDVIEW DR W, UNIVERSITY PLACE, WA 98466-1118
(206) 372-5949
Mailing address
4437 SOUNDVIEW DR W, UNIVERSITY PLACE, WA 98466-1118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60288772
WA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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