Individual
CHRISTINE GAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
9040A JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
3033
CA
231H00000X
Audiologist
Primary
60556649
WA
Other
Enumeration date
01/30/2015
Last updated
04/19/2021
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