Individual
MARY GOOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LILA LN, BURLINGTON, WA 98233-3320
(360) 757-7738
(360) 757-7749
Mailing address
201 LILA LN, BURLINGTON, WA 98233
(360) 757-7738
(360) 757-7749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00117370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ACTION
—
WA
Enumeration date
12/19/2016
Last updated
12/19/2016
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