Individual
MR. GONZALO MARAVILLA SAAVEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
500 5TH AVE, SEATTLE, WA 98104-2332
(206) 200-1000
Mailing address
3430 RENTON PL S APT 101, SEATTLE, WA 98144-6840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61191438
WA
Other
Enumeration date
07/16/2021
Last updated
02/07/2022
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