Individual
MRS. KATHRYN MARIE GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
330 KING ST STE 9, WENATCHEE, WA 98801-2857
(509) 670-6987
Mailing address
330 KING ST STE 9, WENATCHEE, WA 98801-2857
(509) 670-6987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00005194
WA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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