ALYSSA GILLIAM

TULALIP, WA
NPI1134670094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP60682267)
Enumeration Date2016-10-17
Last Update Date2016-10-17
Business Address
-- ALYSSA GILLIAM
13820 19TH AVE NE
TULALIP, WA 98271-6706
Phone number: 425-789-8340
Mailing Address
-- ALYSSA GILLIAM
13820 19TH AVE NE
TULALIP, WA 98271-6706
Phone number: 425-789-8340