-- VICKIE BOLL -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1396737706- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 4804 W CLEARWATER AVE, KENNEWICK, WA, 993362119
- Phone
- (509) 942-2355
- Fax
- (509) 222-1289
Specialties & Taxonomies
Physician Assistant
License: ID #PA338
Physician Assistant
License: NV #PA1392
Physician Assistant
Primary License: WA #PA60168389