Individual
SUSAN J JOUFLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2920 SOUTH MERIDIAN, SUITE 100, PUYALLUP, WA 98373-1428
(253) 841-4296
(253) 841-2435
Mailing address
1624 SOUTH I STREET, SUITE 305, TACOMA, WA 98405-5093
(253) 428-8700
(253) 383-3376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003336
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129371
STATE L&I
WA
05
—
8321580
—
WA
01
—
8933735
STATE CRIME VICTIMS
WA
Enumeration date
11/03/2006
Last updated
08/01/2012
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