THOMAS STILLMAN ELSEMORE

LAKE STEVENS, WA
NPI1407832983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WX1100X Registered Nurse, Ophthalmic
(Licence: WA  RN00061277)
Enumeration Date2005-12-16
Last Update Date2010-01-05
Business Address
-- THOMAS STILLMAN ELSEMORE CRNA
1418 E LAKESHORE DR
LAKE STEVENS, WA 98258-8638
Phone number: 425-334-8081
Mailing Address
-- THOMAS STILLMAN ELSEMORE CRNA
PMB 954
LAKE STEVENS, WA 98258
Phone number: 425-345-1947
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