Individual
SUSAN J. WILTSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(800) 457-9303
(425) 349-8496
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60740640
WA
173C00000X
Reflexologist
—
KS
Other
Enumeration date
05/13/2009
Last updated
07/09/2020
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