Individual
ANA ELISA COLMENERO GARGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 76TH ST NE, MARYSVILLE, WA 98270-3726
(360) 651-7495
(360) 651-7485
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 651-7495
(360) 651-7485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60834036
WA
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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