SearchWashington314000000X

Leota Gibson

NPI 1619307964 · on the registry since 2013 · sole proprietor

Practice

Address
4642 S 282nd St
Auburn, WA 98001
Phone
(206) 818-9863

Registry record

Primary taxonomy
314000000X
314000000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-23

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