Individual
CHERON L. WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10004 204TH AVE E, STE 2200, BONNEY LAKE, WA 98391-6539
(253) 447-3300
Mailing address
10004 204TH AVE E, STE 2200, BONNEY LAKE, WA 98391-6539
(253) 447-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003918
WA
Other
Enumeration date
07/02/2006
Last updated
11/07/2013
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