person
Tracy L Estrellado, PA-C
Medical Physician Assistant in Moses Lake, Washington
NPI 1083645733

Tracy L Estrellado is a Medical Physician Assistant based in Wenatchee, WA and is specialized in Medical. Tracy L Estrellado practices in Moses Lake, WA and has the professional credentials of PA-C. The NPI Number for Tracy L Estrellado is 1083645733 and holds a License No. PA10002438 (Washington).

The current practice location address for Tracy L Estrellado is 840 E Hill Ave, Moses Lake, WA and can be reached out via phone at 509-765-0216.

Location: 840 E Hill Ave, Moses Lake, WA, 98801-2028
person
Provider Profile Details
NPI Number
1083645733
Provider Name
Tracy L Estrellado
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
840 E Hill Ave, Moses Lake, WA, 98801-2028
Phone Number
509-765-0216
Fax Number
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
314838 01 WA L&I POST 7/21/13
P01257588 01 WA RR MEDICARE
1083645733 05 WA
127396 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
840 E Hill Ave
City
State
Zip
98837-2238
Phone Number
509-765-0216
Fax Number
person
Provider Business Mailing Address Details
Address
840 E Hill Ave
City
State
Zip
98837-2238
Phone Number
509-765-0216
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10002438 (Washington)
Definition
Definition to come...
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