Individual
ELISIA MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E 6TH ST, PORT ANGELES, WA 98362-6203
(360) 457-8355
Mailing address
PO BOX 3030, PORT ANGELES, WA 98362-0327
(206) 235-1602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
61188384
WA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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