Individual
EDNORAH M ARVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4268
(253) 548-0453
(253) 548-3049
Mailing address
11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4268
(253) 548-0453
(253) 548-3049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7117492
—
WA
Enumeration date
06/10/2005
Last updated
02/13/2008
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