Individual
MRS. GRETCHEN A KAIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, RN
Contact information
Practice address
406 S. 30TH AVE, SUITE 101, YAKIMA, WA 98902
(509) 248-7715
(509) 248-2890
Mailing address
406 S. 30TH AVE, SUITE 101, YAKIMA, WA 98902
(509) 248-7715
(509) 248-2890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1005039
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8454266
—
WA
Enumeration date
06/26/2006
Last updated
10/24/2013
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