Individual
HOLLY HEIST MESKIMEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 SUNNYSIDE AVE, GRANGER, WA 98932
(509) 865-6450
(509) 854-1919
Mailing address
115 SUNNYSIDE AVE, GRANGER, WA 98932
(509) 865-6450
(509) 854-1919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60726169
WA
Other
Enumeration date
09/15/2008
Last updated
03/16/2017
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