Individual
CHARLOTTE DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
33915 1ST WAY S STE 200, FEDERAL WAY, WA 98003-6396
(253) 838-9839
Mailing address
3209 S 23RD ST STE 340, TACOMA, WA 98405-1602
(800) 734-6855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61098760
WA
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2019
Last updated
05/13/2024
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