Stacey Audrey Wildermuth
Stacey Audrey Wildermuth is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1959 NE Pacific StSeattle, WA 98195-0001
Phone: (206) 543-6577
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1730949637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 20, 2024 |
| Last updated in NPPES | March 20, 2024 |
| Certification date | March 19, 2024 |
| Mailing address | 1959 Ne Pacific St Box 356560, Seattle, WA 98195-7148 |
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