Individual
DR. IMELDA D. GOYANKO-BORROMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10419 12TH ST E, EDGEWOOD, WA 98372-1812
(509) 251-3185
Mailing address
10419 12TH ST E, EDGEWOOD, WA 98372-1812
(509) 251-3185
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
176762
CA
2084P0800X
Psychiatry Physician
MD00035317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8251415
—
WA
Enumeration date
10/21/2005
Last updated
09/15/2023
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