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Individual
MS. CHERYLL HANDY
Active
Individual
MS. CHERYLL HANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219013
LIWA
WA
01
—
3455HA
BSWA
WA
05
—
8452930
—
WA
Enumeration date
06/17/2006
Last updated
07/09/2008
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