Arizona
Board of Licensing
Kiva Charaine Fallgatter PA
Physician Assistant
License number
5216
Date granted
09/05/2012
Class
Physician Assistant
Status
Expired
Address
Pacific Crest Family Medicine, 311 S 72nd Ave, Yakima WA 98908
arizonalicensing.com
ID 22751920
LAST UPDATED 2024-03-06 16:44:41 UTC
LAST UPDATED 2024-03-06 16:44:41 UTC