Individual
LEAH JACQUELINE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, PA-S
Contact information
Practice address
413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
(855) 255-1750
(855) 255-0905
Mailing address
4555 39TH AVE SW APT 413, SEATTLE, WA 98116-4284
(509) 859-4098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61496693
WA
363AM0700X
Medical Physician Assistant
PA61496693
WA
363AS0400X
Surgical Physician Assistant
PA61496693
WA
Other
Enumeration date
08/23/2022
Last updated
09/27/2024
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