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RANMALI WALALIYADDA, PAC
PAC
Physician Assistant
NPI: 1801976923IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA-624(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2006
Contact & Hours
- Address
- 1448 E CENTER ST
POCATELLO, ID 83201 - Phone
- (208) 234-1300
Quick Facts
- NPI
- 1801976923
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 20
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