Individual
ANGELA R WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
200 E FREMONT ST, MONROE, WA 98272-2336
(360) 804-2984
(360) 804-2569
Mailing address
200 E FREMONT ST, MONROE, WA 98272-2336
(360) 804-2569
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60015740
WA
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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