OZONE GAUTAM

VANCOUVER, WA
NPI1053042366
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  MDRE.ML.61299254)
Enumeration Date2022-06-19
Last Update Date2022-06-19
Business Address
OZONE GAUTAM MD
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1168
Mailing Address
OZONE GAUTAM MD
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1168