Search › Washington › 164W00000X
Gwendolyn Black, LPN
NPI 1194593970 · on the registry since 2023 · sole proprietor
Practice
- Address
- 14711 38th Dr Se
Mill Creek, WA 98012 - Phone
- (360) 220-1360
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington