Individual
EDITH GAVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11506 NE 125TH AVE, VANCOUVER, WA 98682-2092
(360) 869-3061
Mailing address
11506 NE 125TH AVE, VANCOUVER, WA 98682-2092
(360) 869-3061
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
604613676
WA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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