ROMAN ALEJANDRO ELISARRARAZ

SHELTON, WA
NPI1245108778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP70039133)
Enumeration Date2025-10-27
Last Update Date2025-10-27
Business Address
ROMAN ALEJANDRO ELISARRARAZ
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-205-8001
Mailing Address
ROMAN ALEJANDRO ELISARRARAZ
7621 19TH LN SE APT 310
LACEY, WA 98503-3491
Phone number: 559-975-9505
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