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-- CONSUELO EPISTOLA -- PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1396816682
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
800 S MERIDIAN STE A, PUYALLUP, WA, 983716994
Phone
(253) 845-6645
Fax
(253) 770-2295

Specialties & Taxonomies

Physician Assistant, Medical License: WA #PA10001096
Physician Assistant Primary License: WA #PA10001096

All Addresses

MAILING

10423 SE 214TH PL

KENT, WA, 980314021

LOCATION

800 S MERIDIAN STE A

PUYALLUP, WA, 983716994

(253) 845-6645