Individual
RYAN CALEB MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
914 S. SCHEUBER ROAD, CENTRALIA, WA 98531-9027
(510) 927-6170
Mailing address
1692 SUNFLOWER LN SW APT 19-202, TUMWATER, WA 98512-0439
(510) 927-6170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61609375
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2023
Last updated
11/07/2024
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