Individual
IRMA BLASA SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
24321 114TH PL SE, KENT, WA 98030-6961
(253) 569-9535
Mailing address
24321 114TH PL SE, KENT, WA 98030-6961
(253) 569-9535
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
7771
WA
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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