MR. Gary John Clinton Mersereau SR., BSN, RN
NPI #1114542065 in Centralia, Washington
Provider Information
- NPI Number
- 1114542065
- Entity Type
- Individual
- Name
- MR. Gary John Clinton Mersereau SR., BSN, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Emergency
- Credential
- BSN, RN
- Enumeration Date
- Jun 16, 2020
- Last Updated
- Jun 16, 2020
Practice Location
- Address
- 914 S SCHEUBER RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9027
- Phone
- (360) 330-8785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
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