Individual
MS. BRYNNA BODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3823 172ND ST NE, ARLINGTON, WA 98223-7735
(360) 657-8840
(360) 848-4598
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6451
(360) 445-8592
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1110588
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2019
Last updated
10/25/2021
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