LIDIA WIERSUM

ISSAQUAH, WA
NPI1558605071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: WA  AP60321256)
Enumeration Date2012-11-21
Last Update Date2020-10-09
Business Address
LIDIA WIERSUM
2445 270TH AVE SE
ISSAQUAH, WA 98029-7901
Phone number: 262-748-5588
Mailing Address
LIDIA WIERSUM
2445 270TH AVE SE
ISSAQUAH, WA 98029-7901
Phone number: 262-748-5588
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