Brianne Dare Hettema, PA-C
NPI #1255000915 in Joint Base Lewis Mcchord, Washington
Provider Information
- NPI Number
- 1255000915
- Entity Type
- Individual
- Name
- Brianne Dare Hettema, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 7, 2021
- Last Updated
- Sep 7, 2021
Practice Location
- Address
- 9040A JACKSON AVE
- State
- Washington
- ZIP Code
- 98431-0001
- Phone
- (253) 968-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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