Individual
SYLVIA ANN GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
514 S 13TH ST, TACOMA, WA 98402-1908
(253) 396-5000
Mailing address
514 S 13TH ST, TACOMA, WA 98402-1908
(253) 396-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPOOO10028
WA
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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