Alyssa Merkel is a physicianassistant in Vancouver. Operator refreshes the health score, market rank, and review feed every night.
Operator computes a Health score every night at 2 am HST. It is the one number that tells you if this shop is winning, losing, or steady. Here is how Alyssa Merkel broke down on May 10, 2026.
Operator ranks every physicianassistant in Vancouver every night at 2 am HST using reviews, response rate, and local market share.
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