Gumbo, Mary A.

Gumbo, Mary A. is an sole proprietor health care provider with primary practice located at 606 Oakesdale Ave Sw Ste C200 , Renton WA 98057-5227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gumbo, Mary A. can be contacted via phone (866) 259-1629.

Contact Information

Primary practice address
606 Oakesdale Ave Sw Ste C200 Renton WA 98057-5227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60786406 Washington

Profile Details

NPI number 1962928861
LBN Legal business name Gumbo, Mary A.
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2017
Last updated Feb 20th, 2024 - about 9 months 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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