Individual
MISS EDILENE GAYLE CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1633 BIRCHWOOD AVE STE 102, BELLINGHAM, WA 98225-9220
(360) 715-8722
Mailing address
504 DARBY DR UNIT 211, BELLINGHAM, WA 98226-1750
(253) 376-5055
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60124721
WA
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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