Individual
THOMAS GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10315 SILVERDALE WAY, SILVERDALE, WA 98383-0309
(360) 307-8570
(360) 308-9789
Mailing address
PO BOX 309, SILVERDALE, WA 98383-0309
(360) 307-8570
(360) 308-9789
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2493
WA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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