Individual
DEIRDRE JOAN GATELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2518 196TH ST SW, LYNNWOOD, WA 98036-6970
(425) 673-7062
Mailing address
2518 196TH ST SW, LYNNWOOD, WA 98036-6970
(425) 673-7062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003928
WA
363AM0700X
Medical Physician Assistant
PA10003928
WA
Other
Enumeration date
05/21/2007
Last updated
04/07/2021
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