Individual
JOHN MARK GAUDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1300 S 320TH ST, FEDERAL WAY, WA 98003-5359
(253) 839-2727
Mailing address
420 S 50TH ST, RENTON, WA 98055-8332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003343
WA
Other
Enumeration date
09/27/2007
Last updated
11/04/2007
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