THOMAS LEE ETHERTON

OLYMPIA, WA
NPI1912547365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: WA  AP61034795)
Enumeration Date2020-01-14
Last Update Date2021-08-12
Business Address
THOMAS LEE ETHERTON NP-C
2610 YELM HWY SE
OLYMPIA, WA 98501-4826
Phone number: 360-915-9389
Mailing Address
THOMAS LEE ETHERTON NP-C
2610 YELM HWY SE
OLYMPIA, WA 98501-4826
Phone number: 360-915-9389
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