Individual
HOLLY MARIE ELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20301 81ST AVE E, SPANAWAY, WA 98387-5274
(253) 208-1547
Mailing address
20301 81ST AVE E, SPANAWAY, WA 98387-5274
(253) 208-1547
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00038375
WA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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