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Ms. Jennifer S. Wiegand, LMP
Specialist in Poulsbo, Washington
NPI 1285771451

Jennifer S. Wiegand is a Specialist based in Poulsbo, WA. Jennifer S. Wiegand practices in Poulsbo, WA and has the professional credentials of LMP. The NPI Number for Jennifer S. Wiegand is 1285771451 and holds a License No. MAOOO20316 (Washington).

The current practice location address for Jennifer S. Wiegand is 19063 12Th Ave Ne, Poulsbo, WA and can be reached out via phone at 360-779-7956 and via fax at 360-697-1319. You can also correspond with Jennifer S. Wiegand through the mailing address at 19063 12TH AVE NE, POULSBO, WA - 98370-7334 (mailing address contact number: 360-779-7956).

Location: 19063 12Th Ave Ne, Poulsbo, WA, 98370-7334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285771451
Provider Name
Jennifer S. Wiegand
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
19063 12Th Ave Ne, Poulsbo, WA, 98370-7334
Phone Number
360-779-7956
Fax Number
360-697-1319
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MAOOO20316 01 WA LMP LICENSE #
institution
Provider Business Practice Location Address Details
Address
19063 12Th Ave Ne
City
Poulsbo
State
Washington
Zip
98370-7334
Phone Number
360-779-7956
Fax Number
360-697-1319
person
Provider Business Mailing Address Details
Address
19063 12Th Ave Ne
City
Poulsbo
State
Washington
Zip
98370-7334
Phone Number
360-779-7956
Fax Number
360-697-1319
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MAOOO20316 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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