GERALD CARL WIEDER

FEDERAL WAY, WA
NPI1487135844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WA  RN00132339)
Enumeration Date2018-08-23
Last Update Date2018-08-23
Business Address
GERALD CARL WIEDER
4130 SW 325TH ST
FEDERAL WAY, WA 98023-2427
Phone number: 206-234-8384
Mailing Address
GERALD CARL WIEDER
4130 SW 325TH ST
FEDERAL WAY, WA 98023-2427
Phone number: 206-234-8384