Individual
LYUBOV GEKKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 BRIARWOOD CIR, MOUNT VERNON, WA 98273-8614
(360) 941-7733
Mailing address
2520 BRIARWOOD CIR, MOUNT VERNON, WA 98273-8614
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN60911121
WA
163WS0200X
School Registered Nurse
Primary
RN60911121
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1208625301
—
WA
Enumeration date
05/03/2017
Last updated
09/11/2024
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