LANE GUSTAFSON

SEATTLE, WA
NPI1831870260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0200X Registered Nurse, Pediatrics
(Licence: WA  RN1355886)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
LANE GUSTAFSON
4800 SAND POINT WAY NE
SEATTLE, WA 98105-3901
Phone number: 509-703-2183
Mailing Address
LANE GUSTAFSON
643 W NICKERSON ST
SEATTLE, WA 98119-1574
Phone number: