Individual
SOTHYRY CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3663 COLLEGE ST SE STE A, LACEY, WA 98503-2303
(360) 481-0105
Mailing address
3663 COLLEGE ST SE STE C, LACEY, WA 98503-2303
(360) 481-0105
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
61055715
WA
176B00000X
Midwife
MIDW.MW.61055715
WA
Other
Enumeration date
03/31/2020
Last updated
09/24/2021
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