Individual
MS. CARLA M WIECHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
704 WARREN AVE N, SEATTLE, WA 98109-4027
(206) 781-9772
Mailing address
3509 DENSMORE AVE N, SEATTLE, WA 98103-9031
(206) 781-9772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005113
WA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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