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Individual
MRS. ELIZABETH ANN WALTMAN
Active
Individual
MRS. ELIZABETH ANN WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005377
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230520
LABOR & INDUSTRIES
WA
05
—
8506750
—
WA
01
—
8946997
CRIME VICTIMS
WA
Enumeration date
02/19/2008
Last updated
05/24/2023
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