person
Mr. Gary John Clinton Mersereau SR., BSN,RN
Emergency Registered Nurse in Centralia, Washington
NPI 1114542065

Gary John Clinton Mersereau SR. is a Emergency Registered Nurse based in Centralia, WA and is specialized in Emergency. Gary John Clinton Mersereau SR. practices in Centralia, WA and has the professional credentials of BSN,RN. The NPI Number for Gary John Clinton Mersereau SR. is 1114542065 and holds a License No. RN60383846 (Washington).

The current practice location address for Gary John Clinton Mersereau SR. is 914 S Scheuber Rd, Centralia, WA and can be reached out via phone at 360-330-8785.

Location: 914 S Scheuber Rd, Centralia, WA, 98531-9024
person
Provider Profile Details
NPI Number
1114542065
Provider Name
Gary John Clinton Mersereau SR.
Credential
BSN,RN
Provider Entity Type
Individual
Gender
Male
Address
914 S Scheuber Rd, Centralia, WA, 98531-9024
Phone Number
360-330-8785
Fax Number
Provider Enumeration Date
06/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
914 S Scheuber Rd
City
State
Zip
98531-9027
Phone Number
360-330-8785
Fax Number
person
Provider Business Mailing Address Details
Address
914 S Scheuber Rd
City
State
Zip
98531-9027
Phone Number
360-330-8785
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
RN60383846 (Washington)
Definition
Definition to come...
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