Individual
SONIA LI JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902
(509) 575-8000
Mailing address
4013 MCLEAN PL, YAKIMA, WA 98908-3948
(509) 969-2844
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN60282711
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60898404
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60898404
STATE LICENSE
WA
01
—
RN60282711
STATE LICENSE
WA
Enumeration date
07/22/2018
Last updated
09/28/2018
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