Individual
PAMELA E GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S 2ND ST, RENTON, WA 98055-2011
(425) 226-5536
Mailing address
3700 MOHAWK CT, MOUNT VERNON, WA 98273-3772
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004880
WA
Other
Enumeration date
09/17/2005
Last updated
07/08/2007
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