BRENT SISSOM

PUYALLUP, WA
NPI1730331240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247100000X Radiologic Technologist
(Licence: WA  RT00003985)
Enumeration Date2008-10-15
Last Update Date2008-10-15
Business Address
-- BRENT SISSOM CRT
1519 3RD ST SE SUITE 103
PUYALLUP, WA 98372-3742
Phone number: 253-841-8939
Mailing Address
-- BRENT SISSOM CRT
1519 3RD ST SE SUITE 101
PUYALLUP, WA 98372-3742
Phone number: 253-841-8939