Tami Larae Gibson X LMT

NPI 1063632685 - Technician, Other - 247200000X

NPI Details
NPI 1063632685
Gender Female
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
107 W NACHES AVE
SELAH WA, 98942-1323, US
Phone (509) 945-9818
Fax
Business Location
107 W NACHES AVE
SELAH WA, 98942-1323, US
Phone (509) 945-9818
Fax
Toxanomy
Taxonomy Code 247200000X
License State Washington
License Number MA00018268
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According to our database, Ms. Tami Larae Gibson X LMT NPI is 1063632685, taxonomy code is 247200000X and license number is MA00018268, license state is located at Washington. Tami Larae Gibson X LMT physically located at 107 W Naches Ave, Selah WA, 98942-1323. NPI Number Tami Larae Gibson X LMT has the Individual type.

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1063632685 NPI number is provided on an as is basis without warranty of any kind. 1063632685 is maintained by the National Plan & Provider Enumeration System. The contents of Tami Larae Gibson X LMT are for informational purposes only.