Individual
DONNA LOUISE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3118 BANKS LN SW, TUMWATER, WA 98512-1451
(360) 561-3098
Mailing address
3118 BANKS LN SW, TUMWATER, WA 98512-1451
(360) 561-3098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8361933
—
WA
Enumeration date
01/17/2007
Last updated
03/12/2022
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