| Gwendolyn Black, LPN | |
|
14711 38th Dr Se, Mill Creek, WA 98012-4282 | |
| (360) 220-1360 | |
| Not Available |
| Full Name | Gwendolyn Black |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 14711 38th Dr Se, Mill Creek, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194593970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP00045623 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gwendolyn Black, LPN 14711 38th Dr Se, Mill Creek, WA 98012-4282 Ph: (360) 220-1360 | Gwendolyn Black, LPN 14711 38th Dr Se, Mill Creek, WA 98012-4282 Ph: (360) 220-1360 |
Ms. Kyungah Yoon, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 14104 16th Ct Se, Mill Creek, WA 98012 Phone: 206-349-1418 | |
Amanda Robieson, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1029 156th Pl Se Apt B10, Mill Creek, WA 98012 Phone: 360-932-6972 |