Individual
SONNI ERIKA SIMERLY
Active
Individual
SONNI ERIKA SIMERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA157572
OR
363AS0400X
Surgical Physician Assistant
Primary
PA60656069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022378
—
WA
01
—
383912
WA LABOR & INDUSTRIES
WA
05
—
500645348
—
OR
Enumeration date
04/24/2012
Last updated
05/20/2019
Update your record
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