Individual
NISSAN ARMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
90 SE KLAH CHE MIN DR, SHELTON, WA 98584-9216
(360) 427-9006
Mailing address
90 SE KLAH CHE MIN DR, SHELTON, WA 98584-9216
(360) 427-9006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1183036
—
Other
Enumeration date
07/24/2020
Last updated
11/21/2025
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