Provider Demographics
NPI:1891333282
Name:MUSCATO, GAIL LEE
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LEE
Last Name:MUSCATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2698 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-4600
Mailing Address - Country:US
Mailing Address - Phone:360-577-8908
Mailing Address - Fax:
Practice Address - Street 1:2698 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4600
Practice Address - Country:US
Practice Address - Phone:360-577-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty