Individual
ALISON JOY PETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371
(253) 848-3000
Mailing address
6512 407TH ST E, EATONVILLE, WA 98328-9277
(253) 355-0220
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
61003696
WA
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
09/07/2018
Last updated
09/29/2019
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