Individual
MRS. ELIZABETH KATHLEEN SHUCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7000
Mailing address
301 S 320TH ST, FEDERAL WAY, WA 98003-5200
(253) 874-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60252177
WA
Other
Enumeration date
10/06/2011
Last updated
05/05/2021
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