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Individual

MS. ALISCIA CATHERINE KEMENNU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-7222
Mailing address
PO BOX 358080, SEATTLE, WA 98195-8080
(206) 288-7222

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60690672
WA

Other

Enumeration date
10/07/2016
Last updated
10/07/2016
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