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Individual

KELLY KRISTIN GAUDREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
(425) 313-2377
Mailing address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
(425) 313-2377

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-157390
WA

Other

Enumeration date
01/25/2023
Last updated
01/25/2023
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