Alyssa Gilliam
NPI #1134670094 in Tulalip, Washington
Provider Information
- NPI Number
- 1134670094
- Entity Type
- Individual
- Name
- Alyssa Gilliam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 17, 2016
- Last Updated
- Oct 17, 2016
Practice Location
- Address
- 13820 19TH AVE NE
- City
- Tulalip
- State
- Washington
- ZIP Code
- 98271-6706
- Phone
- (425) 789-8340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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