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Individual
SUREE CHOMMUANG
Active
Individual
SUREE CHOMMUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006362
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709IT
REGENCE BLUE SHIELD RIDER
—
05
—
9647306
—
WA
Enumeration date
03/17/2006
Last updated
09/24/2014
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