Individual
SARAH GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 W MAIN ST STE 115, BATTLE GROUND, WA 98604-4474
(800) 813-2000
Mailing address
19811 NE LEHTO RD, BATTLE GROUND, WA 98604-3705
(360) 773-7331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN60084470
WA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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