Yakima Valley Medical Conference Registration 26: Submission #1651

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
First Name: Kimberly
Last Name: Gill
Email: ksmrn68@hotmail.com
Degree: N.P.
Specialty: Adult Geriatrics Primary Care
Clinic/Organization: HeartN'Soul Hospice and Homebase Medical Group
Conference Format: {Empty}
Address: 17101 83RD AVENUE CT E
City: Puyallup
State: WA
Zip: 98375
Phone: 8179912160
Payment:  Card payment
Conference type: Complete Conference
Thursday: {Empty}
Friday: In Person
Saturday: In Person
Notes: {Empty}
anet_transaction_reference: ref1769793071
anet_payment_status: success
Ammount: 422.37
Registration code: yakima26
Title: Yakima Valley Medical Conference 26
Receipt: http://russocme.com/webform/paid_conference_registration/submissions/4760/attachment/receipt/receipt.pdf
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