Individual
CONSUELO EPISTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 S MERIDIAN STE A, PUYALLUP, WA 98371-6994
(253) 845-6645
(253) 770-2295
Mailing address
10423 SE 214TH PL, KENT, WA 98031-4021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001096
WA
363AM0700X
Medical Physician Assistant
PA10001096
WA
Other
Enumeration date
11/10/2006
Last updated
09/05/2013
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