Provider Demographics
NPI:1215518691
Name:VIENS, CAROLYN ANN WALLJASPER (NBC-HWC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:ANN WALLJASPER
Last Name:VIENS
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Gender:F
Credentials:NBC-HWC
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Other - Credentials:
Mailing Address - Street 1:2950 NEWMARKET ST # 101-266
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-3872
Mailing Address - Country:US
Mailing Address - Phone:360-201-8744
Mailing Address - Fax:
Practice Address - Street 1:3615 VINING ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-5628
Practice Address - Country:US
Practice Address - Phone:360-201-8744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-18
Last Update Date:2021-04-18
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