Individual
GERALLYNN EUSEBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2510 164TH ST SW APT D309, LYNNWOOD, WA 98087-7834
(347) 822-3369
Mailing address
2510 164TH ST SW APT D309, LYNNWOOD, WA 98087-7834
(347) 822-3369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
Primary
61489439
WA
Other
Enumeration date
07/01/2022
Last updated
12/12/2023
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