Individual
REESE A ULLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 454-8888
(509) 453-0061
Mailing address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 454-8888
(509) 453-0061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60418621
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60418621
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011328
—
WA
Enumeration date
09/30/2013
Last updated
09/30/2019
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