Individual
DR. MA HAZEL LYN GUTIERREZ GAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 S AUBURN ST, KENNEWICK, WA 99336-5665
(509) 737-1878
(509) 737-1879
Mailing address
7211 W DESCHUTES AVE, STE E, KENNEWICK, WA 99336-7715
(509) 586-1157
(509) 582-4189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301090727
MI
Other
Enumeration date
09/11/2007
Last updated
03/23/2016
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