Individual
KIMBERLY M WIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, BUILDING 17, VANCOUVER, WA 98661-3753
(360) 397-8473
(360) 397-8110
Mailing address
PO BOX 9825, VANCOUVER, WA 98666-8825
(360) 397-8473
(360) 397-8110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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