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Individual

BRANDEA J SCOTT-VESSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1717 13TH ST, EVERETT, WA 98201-1621
(425) 258-3900
(425) 297-5561
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
(425) 297-5561

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004743
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0271925
LABOR AND INDUSTRY
WA
01
2039567
INTERNAL ID-MOTOR VEHICLE ID
05
8439119
WA
Enumeration date
10/16/2006
Last updated
03/31/2021
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