Individual
GARY DOSSANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
658 S 152ND ST, BURIEN, WA 98148-1111
(425) 650-2004
Mailing address
658 S 152ND ST, BURIEN, WA 98148-1111
(425) 650-2004
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
05/11/2021
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