Individual
CAROLYN ANN WYCKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16825 48TH AVE W STE 245, LYNNWOOD, WA 98037-6406
(425) 778-9102
Mailing address
PO BOX 447, GOLD BAR, WA 98251-0447
(425) 778-9102
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP00047927
WA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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