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Individual

ANDORA RAQUEL AZABACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5750
(253) 999-5740
Mailing address
2508 33RD AVE SE, PUYALLUP, WA 98374-4131

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61003702
WA
363AM0700X
Medical Physician Assistant
PA61003702
WA

Other

Enumeration date
09/17/2018
Last updated
04/01/2025
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