Individual
MS. SHEILA M WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
22430 CEDARVIEW DR E, BONNEY LAKE, WA 98391-7532
(360) 897-1162
(360) 897-1196
Mailing address
PO BOX 7817, BONNEY LAKE, WA 98391-0978
(360) 897-1162
(360) 897-1196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011144
WA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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