DEJANAE SHAQUELLE WEICKUM

TACOMA, WA
NPI1609492180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WA  RN61353026)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: WA  LP61053332)
Enumeration Date2020-06-22
Last Update Date2022-10-04
Business Address
DEJANAE SHAQUELLE WEICKUM LPN
721 FAWCETT AVE
TACOMA, WA 98402-5502
Phone number: 253-597-6728
Mailing Address
DEJANAE SHAQUELLE WEICKUM LPN
14124 MERIDIAN E APT I107
PUYALLUP, WA 98373-6101
Phone number: 253-239-7998