Individual
RAVINA BANUMATI GOBURDHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 610-9708
Mailing address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 610-9708
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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