Individual
KAITLIN WICKLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 DEXTER AVE N STE 100, SEATTLE, WA 98109
(855) 832-6727
(772) 675-9100
Mailing address
5007 19TH AVE NE, SEATTLE, WA 98105
(425) 248-0766
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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