Kimberly M Wiedman RD

NPI 1770719916 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1770719916
Gender Female
Enumeration Date 06/02/2009
Last Updated 06/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1601 E FOURTH PLAIN BLVD
BUILDING 17
VANCOUVER WA, 98661-3753, US
Phone (360) 397-8473
Fax (360) 397-8110
Business Location
PO BOX 9825
VANCOUVER WA, 98666-8825, US
Phone (360) 397-8473
Fax (360) 397-8110
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
Remove 1770719916 NPI Number
 

According to our database, Kimberly M Wiedman RD NPI is 1770719916, taxonomy code is 133V00000X Kimberly M Wiedman RD physically located at 1601 E Fourth Plain Blvd, Vancouver WA, 98661-3753. NPI Number Kimberly M Wiedman RD has the Individual type.

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1770719916 NPI number is provided on an as is basis without warranty of any kind. 1770719916 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly M Wiedman RD are for informational purposes only.