Individual
CARA J ANTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11315 BRIDGEPORT WAY SW, ATTN: ED, LAKEWOOD, WA 98499-3004
(253) 985-8700
Mailing address
11315 BRIDGEPORT WAY SW, ATTN: ED, LAKEWOOD, WA 98499-3004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60518922
WA
363AM0700X
Medical Physician Assistant
MA053512
PA
Other
Enumeration date
09/30/2008
Last updated
04/09/2015
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