Individual
MARY A. GUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
344 CLEVELAND AVE SE STE A, TUMWATER, WA 98501-3342
(425) 200-0654
(425) 200-0646
Mailing address
344 CLEVELAND AVE SE STE A, TUMWATER, WA 98501-3342
(425) 200-0654
(425) 200-0646
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60786406
WA
Other
Enumeration date
08/22/2017
Last updated
07/25/2024
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