Individual
RACHEL FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10618 E SPRAGUE AVE, SPOKANE VALLEY, WA 99206-3634
(509) 241-3327
(208) 772-2313
Mailing address
10618 E SPRAGUE AVE, SPOKANE VALLEY, WA 99206-3634
(509) 241-3327
(208) 772-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1393
ID
363A00000X
Physician Assistant
Primary
PA60654406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118417
NCCPA ID
CA
Enumeration date
06/18/2014
Last updated
08/23/2016
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