Individual
ELIZABETH GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E CHESTNUT ST STE 200, BELLINGHAM, WA 98225-5241
(360) 788-8143
Mailing address
511 MAIN PL APT A, LYNDEN, WA 98264-1295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60224222
WA
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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