Search › Washington › 171R00000X

Melissa Gonzaga

NPI 1588484562 · on the registry since 2024 · sole proprietor

Practice

Address
23709 101st Pl Se Apt H102
Kent, WA 98031
Phone
(253) 398-4460

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-14

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