Individual
GABRIEL IRAHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 N SHORE DR, BELLINGHAM, WA 98226-4414
(360) 676-6000
Mailing address
609 N SHORE DR, BELLINGHAM, WA 98226-4414
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00055731
WA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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