Individual
GAIL ELIZABETH DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-P
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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