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Individual

MR. DWAYNE ERIC HAMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
500 SW 39TH ST, SUITE 150, RENTON, WA 98057-4915
(425) 264-2568
(425) 264-2569
Mailing address
500 SW 39TH ST, SUITE 150, RENTON, WA 98057-4915
(425) 264-2568
(425) 264-2569

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60055660
WA

Other

Enumeration date
11/17/2008
Last updated
11/17/2008
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