Individual
CORINNE GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 5TH ST SE STE 2300, PUYALLUP, WA 98372-4692
(253) 697-2539
Mailing address
1450 5TH ST SE STE 2300, PUYALLUP, WA 98372-4692
(253) 697-2539
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2285634
MA
Other
Enumeration date
09/10/2015
Last updated
02/23/2021
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