Individual
MOLLY M. ETUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1990 HOSPITAL DR STE 110, SEDRO WOOLLEY, WA 98284-9315
(360) 856-8830
(360) 714-2520
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002892A
IN
363A00000X
Physician Assistant
5136
SC
363A00000X
Physician Assistant
PA61638047
WA
Other
Enumeration date
12/04/2015
Last updated
12/26/2024
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