Individual
MELISSA GISELLE GONZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
23709 101ST PL SE APT H102, KENT, WA 98031-4250
(253) 398-4460
Mailing address
23709 101ST PL SE APT H102, KENT, WA 98031-4250
(253) 398-4460
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
WA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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