Female

Ms. Suzanne Wenner L.AC., L.M.P.

Full Name

Ms. Suzanne Wenner L.AC., L.M.P.

NPI Number

1912038621

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/07/2007

Specialties

(Taxonomies)

Code

171100000X
174400000X

Primary Taxonomy

No
No

Licenses

State

Washington
Washington

License Number

2190
MA11394

Contact
Information

Purpose

Mailing
Location

Address

1617 BETHEL ST NE
524 JEFFERSON ST SE

City

Olympia
Olympia

State

WA
WA

Postal Code

98506-3306
98501-1466

Country

US
US

Telephone Number

(360) 402-4675
(360) 402-4675

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address