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Individual

ASHLEY LORENE MIGUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
350 S 38TH CT, STE 115, RENTON, WA 98055-5777
(206) 859-5777
Mailing address
350 S 38TH CT, STE 115, RENTON, WA 98055-5777
(206) 859-5777

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60596865
WA

Other

Enumeration date
01/13/2011
Last updated
01/08/2016
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