DEJANAE WEICKUM, LPN

Registered Nurse

Active Individual
NPI: 1609492180

Practice Address

721 FAWCETT AVE
Tacoma, WA 98402

Phone: (253) 597-6728

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X No LP61053332 (WA)
Registered Nurse 163W00000X Yes RN61353026 (WA)

Frequently Asked Questions

NPI 1609492180 is the National Provider Identifier for DEJANAE WEICKUM, LPN, a Registered Nurse provider located in Tacoma, WA. This NPI was enumerated on June 22, 2020.
DEJANAE WEICKUM, LPN practices at 721 FAWCETT AVE, Tacoma, WA 98402.

Quick Facts

NPI
1609492180
Type
Individual
Enumerated
Jun 22, 2020
Last Updated
Oct 4, 2022

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