Individual
EYOB G KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7425 WRIGLEY DR, STE 100, PASCO, WA 99301-5292
(509) 416-8888
(509) 545-6842
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8849
(509) 542-3059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
51493
CA
363A00000X
Physician Assistant
Primary
60564696
WA
Other
Enumeration date
05/29/2014
Last updated
08/03/2020
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