Lilia Camal Gannon, | |
5455 Almira Dr Ne, Bremerton, WA 98311-8330 | |
(360) 373-5031 | |
Not Available |
Full Name | Lilia Camal Gannon |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 5455 Almira Dr Ne, Bremerton, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851912778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LP00046889 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lilia Camal Gannon, 5455 Almira Dr Ne, Bremerton, WA 98311-8330 Ph: () - | Lilia Camal Gannon, 5455 Almira Dr Ne, Bremerton, WA 98311-8330 Ph: (360) 373-5031 |
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