Individual
MR. BRYAN GIMA-DERROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
3003 W CASINO RD, MAIL CODE: 0K-47, EVERETT, WA 98204-1910
(425) 903-6204
Mailing address
13916 N CREEK DR, 3131, MILL CREEK, WA 98012-8416
(707) 628-5058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160656701
WA
Other
Enumeration date
04/18/2016
Last updated
11/19/2016
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