Individual
GLADYS RUBY MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 13TH ST SE, PUYALLUP, WA 98372-4707
(253) 848-0880
Mailing address
315 N G ST APT 104, TACOMA, WA 98403-2208
(253) 332-3202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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