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Organization

GOOD SHEPHERD MEDICAL SERVICES LLC

Active
Other names
Good Shepherd Medical Services LLC
Organization subpart
No

Provider details

NPI number
Authorized official
HAZELINE VILLARUZ GUMIRAN-ALEJANDRO ARNP (PRESIDENT)
(206) 372-2960
Entity
Organization

Contact information

Practice address
714 S 38TH CT, RENTON, WA 98055-5894
(206) 372-2960
(425) 282-4455
Mailing address
714 S 38TH CT, RENTON, WA 98055-5894
(206) 372-2960
(425) 282-4455

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary

Other

Enumeration date
09/01/2022
Last updated
09/01/2022
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