Individual
ELGITA EGLITE-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
163 SEA VIEW DR, PORT ANGELES, WA 98362-9155
(802) 989-8669
Mailing address
163 SEA VIEW DRIVE, PORT ANGELES, WA 98362
(802) 989-8669
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6936
NM
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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