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Individual

MRS. GINETTE MARIE DIDOMENICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
27715 NE 20TH PL, CARNATION, WA 98014-8211
(425) 221-4657
Mailing address
PO BOX 1162, CARNATION, WA 98014-1162
(425) 221-4657

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60508368
WA

Other

Enumeration date
10/08/2014
Last updated
06/30/2015
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