Individual
ELIZABETH ATHAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMMP
Contact information
Practice address
1111 E FRONT ST, PORT ANGELES, WA 98362-4307
(360) 477-4894
Mailing address
PO BOX 5202, KENT, WA 98064-5202
(253) 520-0158
(253) 854-9860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00087016
WA
225700000X
Massage Therapist
Primary
MA00004504
WA
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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