Individual
RUSTIN RILEY GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 S 3RD PL, RENTON, WA 98057-2405
(425) 228-0074
Mailing address
22533 12TH PL W, BOTHELL, WA 98021-9429
(206) 200-6107
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RC00057807
WA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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