Individual
PAULINE VINTAPATR GOLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5925 47TH AVE NE, MARYSVILLE, WA 98270
(855) 722-9700
Mailing address
310 15TH AVE E, SEATTLE, WA 98112-5103
(800) 562-6300
(877) 515-2975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95190211
CA
363L00000X
Nurse Practitioner
Primary
AP61428637
WA
Other
Enumeration date
01/11/2022
Last updated
07/24/2024
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