Individual
MARY GORSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 COOPER POINT RD NW STE 103, OLYMPIA, WA 98502-4436
(360) 754-8014
Mailing address
3711 FAWCETT AVE, TACOMA, WA 98418-6724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61322029
WA
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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