Individual
SUSAN GUILLIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
202 N DIVISION ST, PLAZA 2, SUITE 302, AUBURN, WA 98001-4939
(253) 333-0299
Mailing address
202 N DIVISION ST, PLAZA 2, SUITE 302, AUBURN, WA 98001-4939
(253) 333-0299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122534
—
WA
Enumeration date
10/16/2006
Last updated
12/05/2007
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