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Organization
GOOD SHEPHERD MEDICAL SERVICES LLC
Active
Organization
GOOD SHEPHERD MEDICAL SERVICES LLC
Active
Other names
Good Shepherd Medical Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HAZELINE VILLARUZ GUMIRAN-ALEJANDRO ARNP (PRESIDENT)
(206) 372-2960
Entity
Organization
Contact information
Practice address
714 S 38TH CT, RENTON, WA 98055-5894
(206) 372-2960
(425) 282-4455
Mailing address
714 S 38TH CT, RENTON, WA 98055-5894
(206) 372-2960
(425) 282-4455
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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