JACKIE WIEDEMANN

ARCATA, CA
NPI1780731778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  333007)
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
-- JACKIE WIEDEMANN
1 HARPST ST
ARCATA, CA 95521-8222
Phone number: 707-826-3146
Mailing Address
-- JACKIE WIEDEMANN
1 HARPST ST
ARCATA, CA 95521-8222
Phone number: 707-826-3146
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