Individual
MS. CHERYL LEFLER CIESZLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4033 TALBOT RD S STE 530, RENTON, WA 98055-5700
(425) 690-3433
(425) 690-9433
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60221846
WA
363AM0700X
Medical Physician Assistant
PA60221846
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60221846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012307
—
WA
Enumeration date
10/07/2009
Last updated
08/18/2021
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