Individual
MRS. ERNESTINE DELORES GOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 JAMES ST, DESC, SEATTLE, WA 98104
(206) 823-6193
(206) 652-1236
Mailing address
216 JAMES ST, DESC, SEATTLE, WA 98104
(206) 823-6193
(206) 652-1236
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
CG60527397
WA
Other
Enumeration date
06/12/2013
Last updated
12/26/2018
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