| Roman Alejandro Elisarraraz, | |
|
307 W Cota St, Shelton, WA 98584-2265 | |
| (360) 205-8001 | |
| Not Available |
| Full Name | Roman Alejandro Elisarraraz |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 307 W Cota St, Shelton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245108778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP70039133 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Alejandro Elisarraraz, 7621 19th Ln Se Apt 310, Lacey, WA 98503-3491 Ph: (559) 975-9505 | Roman Alejandro Elisarraraz, 307 W Cota St, Shelton, WA 98584-2265 Ph: (360) 205-8001 |
Cheleace Ryder, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8011 | |
Daniel Spencer Richards, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 | |
Tandiwe Mabika, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-463-2081 | |
Jackie Shaffer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8010 | |
Beatrice Elizabeth Safford, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-463-2081 | |
Juerita Jean Cote, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8010 |