Individual
ELLEN GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-7733
Mailing address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-7733
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60656196
WA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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