MARIA LYNN DETHERAGE

FEDERAL WAY, WA
NPI1720219173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60866304)
Enumeration Date2009-08-03
Last Update Date2020-11-12
Business Address
MARIA LYNN DETHERAGE MS, RPAC
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003-5407
Phone number: 253-215-1093
Mailing Address
MARIA LYNN DETHERAGE MS, RPAC
31675 PACIFIC HWY S
FEDERAL WAY, WA 98003-5407
Phone number: 253-215-1093
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