ALPHONZO FLYING CLOUD

EVERETT, WA
NPI1073682126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10003226)
Enumeration Date2006-11-06
Last Update Date2021-05-18
Business Address
ALPHONZO FLYING CLOUD
1321 COLBY AVE
EVERETT, WA 98201-1665
Phone number: 425-261-2000
Mailing Address
ALPHONZO FLYING CLOUD
1321 COLBY AVE
EVERETT, WA 98201-1665
Phone number: 425-261-2000
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