LEOTA LYNN GIBSON

AUBURN, WA
NPI1619307964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: WA  OT 00002387)
Enumeration Date2013-11-23
Last Update Date2013-11-23
Business Address
-- LEOTA LYNN GIBSON
4642 S 282ND ST
AUBURN, WA 98001-1110
Phone number: 206-818-9863
Mailing Address
-- LEOTA LYNN GIBSON
4642 S 282ND ST
AUBURN, WA 98001-1110
Phone number: 206-818-9863