Individual
ELENA WALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4103 BRIDGEPORT WAY W, SUITE C, UNIVERSITY PLACE, WA 98466-4300
(253) 460-1824
(253) 460-1920
Mailing address
2437 LENORE DR, TACOMA, WA 98406-1932
(253) 756-6834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135797
L&I
WA
Enumeration date
03/28/2007
Last updated
07/08/2007
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