Individual
CONSTANCE WEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3100 NW BUCKLIN HILL RD, STE 113, SILVERDALE, WA 98383-8358
(360) 692-7800
(360) 876-6083
Mailing address
3100 NW BUCKLIN HILL RD, STE 113, SILVERDALE, WA 98383-8358
(360) 692-7800
(360) 876-6083
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184228
WA STATE LNI
WA
Enumeration date
03/07/2008
Last updated
03/07/2008
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