Most Relevant Information
Provider Data
| NPI Number: | 1003458225 |
| Provider Name: | SVETLANA A GAYEVSKAYA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/09/2019 |
| Last Updated: | 10/09/2019 |
Provider Practice Location
12605 E. GIBSON RD. UNIT # 87
EVERETT
WA
98204
Practice Location Phone/Fax
| Phone: | 4257378885 |
| Fax: |
Provider Mailing Location
P.O. BOX 14123
MILL CREEK
WA
98082
Provider Mailing Phone/Fax
| Phone: | 4257378885 |
| Fax: |