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Individual

DR. PAMELA E SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2404
Mailing address
14945 104TH AVE NE, BOTHELL, WA 98011-7209
(425) 402-4723

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00002126
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LD00002126
AUDIOLOGY LICENSE
WA
Enumeration date
10/21/2006
Last updated
07/08/2007
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