Individual
SOPALLA DUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 SW 146TH ST, BURIEN, WA 98166
(206) 901-2400
Mailing address
7106 29TH AVE SW, SEATTLE, WA 98126-3317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60863880
WA
Other
Enumeration date
05/25/2017
Last updated
03/30/2021
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