TATYANA GUDISHVILI, RN

Custodial Care Facility - Adult Care Home

Active Individual
NPI: 1407591472

Practice Address

22300 NE 58TH ST
Vancouver, WA 98682

Phone: (360) 852-3884

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN00149858 (WA)
Custodial Care Facility - Adult Care Home 311ZA0620X Yes 754775 (WA)

Frequently Asked Questions

NPI 1407591472 is the National Provider Identifier for TATYANA GUDISHVILI, RN, a Custodial Care Facility - Adult Care Home provider located in Vancouver, WA. This NPI was enumerated on May 3, 2022.
TATYANA GUDISHVILI, RN practices at 22300 NE 58TH ST, Vancouver, WA 98682.

Quick Facts

NPI
1407591472
Type
Individual
Enumerated
May 3, 2022
Last Updated
May 25, 2022

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