LEO THOMAS CASTONGUAY

TACOMA, WA
NPI1629555990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP00055981)
Enumeration Date2018-07-19
Last Update Date2018-07-19
Business Address
LEO THOMAS CASTONGUAY LPN
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
Mailing Address
LEO THOMAS CASTONGUAY LPN
3629 S D ST
TACOMA, WA 98418-6813
Phone number: