PENNY GOUDELOCK PA
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1043433352- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 1100 PACIFIC AVE SUITE 202, EVERETT, WA, 982014261
- Phone
- (425) 388-4075
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: WA #PA10005160