Yakima Valley Medical Conference Registration 26: Submission #1651
The Table page displays a submission's general information and data using tabular layout. Watch video
Submission information
Submission Number: 1651
Submission ID: 4760
Submission UUID: e3c15455-3dec-4dda-9ba3-6f8dc098af9a
Submission URI: /yakima26/form
Created: Fri, 01/30/2026 - 17:10
Completed: Fri, 01/30/2026 - 17:11
Changed: Fri, 01/30/2026 - 17:11
Remote IP address: 192.88.134.7
Submitted by: Anonymous
Language: English
Is draft: No
Current page: Complete
Webform: Paid/Free Conference Registration
Submitted to: Yakima Valley Medical Conference Registration 26
| First Name | Kimberly |
|---|---|
| Last Name | Gill |
| ksmrn68@hotmail.com | |
| Degree | N.P. |
| Specialty | Adult Geriatrics Primary Care |
| Clinic/Organization | HeartN'Soul Hospice and Homebase Medical Group |
| Conference Format | |
| Address | 17101 83RD AVENUE CT E |
| City | Puyallup |
| State | WA |
| Zip | 98375 |
| Phone | 8179912160 |
| Payment | Card payment |
| Conference type | Complete Conference |
| Thursday | |
| Friday | In Person |
| Saturday | In Person |
| Notes | |
| anet_transaction_reference | ref1769793071 |
| anet_payment_status | success |
| Ammount | 422.37 |
| Registration code | yakima26 |
| Title | Yakima Valley Medical Conference 26 |
| Receipt | Receipt |
| Payment Note | RussoCME 935 SE High St Pullman, WA 99163 |
| Invoice number | yakima26_1769793054 |
| Tax | 32.37 |
| Base amount | 390 |
| Taxed Amount | 390 |
| Total Days | 2 |
| Recording Days | 0 |
| Non Recording Days | 2 |
| Per Day Amount | 195 |
| Tax Percentage | 8.3 |