Individual
GLORIA CRESENCIA B. ABACAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 MEMORIAL ST STE 1, PROSSER, WA 99350-2504
(509) 786-2010
(509) 788-1794
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00039221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306897681
NPI PROSSER MEMORIAL
—
01
—
156636
L & I
WA
01
—
2035AB
REGENCE
WA
01
—
22855
GROUP HEALTH
—
01
—
8265142
CHPW
WA
05
—
8265142
—
WA
01
—
911019392
COMMERCIAL
—
Enumeration date
09/06/2006
Last updated
03/06/2025
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