Individual
MARTHA J GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2850 MURIEL CT SE, LACEY, WA 98503-3263
(360) 339-5775
Mailing address
2850 MURIEL CT SE, LACEY, WA 98503-3263
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MA60164593
WA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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