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Individual

KRISTA ELIZABETH GUYLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA60597420
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60597420
WA

Other

Enumeration date
08/27/2015
Last updated
10/28/2015
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