Individual
RYAN MATTHEW FENOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 S 336TH ST STE 500, FEDERAL WAY, WA 98003-8300
(657) 400-5180
Mailing address
7718 NE 151ST LN, KENMORE, WA 98028-5600
(425) 638-9730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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