Most Relevant Information
Provider Data
| NPI Number: | 1003396953 |
| Provider Name: | MARISOL SALAZAR |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA61013951 |
Most Important Dates
| Enumeration Date: | 08/20/2018 |
| Last Updated: | 11/22/2019 |
Provider Practice Location
10510 GRAVELLY LAKE DR SW
LAKEWOOD
WA
984995036
Practice Location Phone/Fax
| Phone: | 2535974550 |
| Fax: |
Provider Mailing Location
1148 BROADWAY STE 100
TACOMA
WA
984023518
Provider Mailing Phone/Fax
| Phone: | 2535974550 |
| Fax: |