Individual
MIGUEL ALEXANDER FARIA MUSCATELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-3444
Mailing address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-3444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
01/15/2025
Last updated
02/13/2025
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