Provider Demographics
NPI:1841668332
Name:MAYCUMBER, GABRIELA CATHERINE (LM)
Entity type:Individual
Prefix:MISS
First Name:GABRIELA
Middle Name:CATHERINE
Last Name:MAYCUMBER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22416 128TH DR NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-9518
Mailing Address - Country:US
Mailing Address - Phone:509-570-2231
Mailing Address - Fax:360-403-9747
Practice Address - Street 1:22416 128TH DR NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-9518
Practice Address - Country:US
Practice Address - Phone:509-570-2231
Practice Address - Fax:360-403-9747
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60550774176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife