Gavino, Gwendolyn G

Gavino, Gwendolyn G is an individual health care provider with primary practice located at 7211 W Deschutes Ave Ste. E, Kennewick WA 99336-7728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gavino, Gwendolyn G can be contacted via phone (509) 735-9239.

Contact Information

Primary practice address
7211 W Deschutes Ave Ste. E Kennewick WA 99336-7728
Fax: (509) 735-9310
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 052069 Georgia

Profile Details

NPI number 1235106808
LBN Legal business name Gavino, Gwendolyn G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 12th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235106808 NPPES
Georgia MEDICAID 000971022A
Georgia MEDICAID 000971022B

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