SearchWashington101YM0800X

Elijah Bryant

NPI 1083491062 · on the registry since 2023 · sole proprietor

Practice

Address
3436 Mary Elder Rd Ne # 98506
Olympia, WA 98506
Phone
(360) 528-2590
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington