Individual
DWYN DITHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BOX 359777 325 9TH AVE., SEATTLE, WA 98104
(206) 731-2805
Mailing address
BOX 359777 325 9TH AVE., SEATTLE, WA 98104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004310
WA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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