Individual
KRISTA RENEA GEARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E MEYER LAKE DR, SHELTON, WA 98584-7412
(360) 490-9993
Mailing address
2480 E MCEWAN PRAIRIE RD, SHELTON, WA 98584-9678
(360) 401-9858
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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