Individual
MRS. RACHNA EAV GRUNKEMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3555 MONTE VILLA PKWY, BOTHELL, WA 98021-8982
(425) 288-2105
Mailing address
3555 MONTE VILLA PARKWAY, BOTHELL, WA 98041
(425) 288-2105
(425) 288-2106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1004194
WA
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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