Individual
DR. JIMENA MARIA GOMEZ DEL CARPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14841 179TH AVE SE, MONROE, WA 98272-1127
(360) 217-1155
(360) 217-1154
Mailing address
14841 179TH AVE SE, MONROE, WA 98272-1127
(360) 217-1155
(360) 217-1154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61325030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD61325030
WA STATE LICENSE NUMBER
WA
Enumeration date
06/26/2007
Last updated
08/04/2023
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