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Search › California › 363LF0000X

Jackie Wiedemann

NPI 1780731778 · on the registry since 2007

Practice

Address
1 Harpst St
Arcata, CA 95521
Phone
(707) 826-3146
Organisation at this address
Humboldt State University
California State Polytechnic University, Humboldt
California State Polytechnic University, Humboldt
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California