Individual
DR. ALICIA SUZANNA GIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 SKYLINE DR, WHITE SALMON, WA 98672
(509) 493-2133
(509) 493-9538
Mailing address
PO BOX 1519, WHITE SALMON, WA 98672-1519
(509) 493-2133
(509) 493-9538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033032
WA
207Q00000X
Family Medicine Physician
MD20959
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8194987
—
WA
Enumeration date
08/22/2005
Last updated
08/26/2011
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