Individual
MARIO GASPAR DE ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 W NORTH BEND WAY, NORTH BEND, WA 98045-8163
(425) 200-0130
(425) 209-0766
Mailing address
301 W NORTH BEND WAY, NORTH BEND, WA 98045-8163
(425) 200-0130
(425) 209-0766
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
MG60848499
WA
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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