MARYANNA GUSENKOV

TACOMA, WA
NPI1720439730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: WA  60626173)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
MISS MARYANNA GUSENKOV
4707 42ND ST NE
TACOMA, WA 98422-2401
Phone number: 253-495-0036
Mailing Address
MISS MARYANNA GUSENKOV
4707 42ND ST NE
TACOMA, WA 98422-2401
Phone number: 253-495-0036