NPI | 1710607403 |
---|---|
Doing Business As | GOOD SHEPHERD MEDICAL SERVICES LLC |
Entity Type | Organization |
Authorized Contact | HAZELINE VILLARUZ GUMIRAN-ALEJANDRO President 206-372-2960 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
Enumeration Date | 2022-09-01 |
Last Update Date | 2022-09-01 |