Individual
MS. EKATERINA KOROLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
Mailing address
1220 BOREN AVE, APT 308, SEATTLE, WA 98101-2794
(319) 530-3837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60255443
WA
Other
Enumeration date
12/02/2011
Last updated
08/17/2012
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