CHARLES LEONARD PIETERICK

SEATTLE, WA
NPI1063584902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP30001503)
Enumeration Date2006-11-15
Last Update Date2007-07-09
Business Address
-- CHARLES LEONARD PIETERICK ARNP
825 EASTLAKE AVE E
SEATTLE, WA 98109-4405
Phone number: 206-667-6936
Mailing Address
-- CHARLES LEONARD PIETERICK ARNP
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420