Individual
JILL ROSE KANDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20120 BALLINGER WAY NE STE A-01, SHORELINE, WA 98155-1117
(206) 365-9000
(206) 365-9001
Mailing address
11032 GREENWOOD AVE N UNIT C, SEATTLE, WA 98133-7633
(516) 754-5794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60513573
WA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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