Individual
MR. SEAN DAVID TOMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
5236 CALIFORNIA AVE SW, SEATTLE, WA 98136-1244
(206) 331-3999
Mailing address
5236 CALIFORNIA AVE SW, SEATTLE, WA 98136-1244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60483845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60483845
WORK PLACE
WA
Enumeration date
08/02/2014
Last updated
08/02/2014
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