ELISA RENEE WHITE

LONGVIEW, WA
NPI1437975604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: WA  1942840160)
Enumeration Date2024-12-03
Last Update Date2024-12-03
Business Address
ELISA RENEE WHITE
1116 14TH AVE
LONGVIEW, WA 98632-3017
Phone number: 360-261-6930
Mailing Address
ELISA RENEE WHITE
1116 14TH AVE
LONGVIEW, WA 98632-3017
Phone number: 360-261-6930