Individual
ANGELA MARIE HAROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CAPITAL MALL DR SW STE A, OLYMPIA, WA 98502-8654
(360) 786-8990
(360) 786-9010
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 491-8439
(360) 491-6328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60997235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147139
—
WA
Enumeration date
09/13/2018
Last updated
02/14/2020
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