Individual
DR. SHIROKO LILES SOKITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3471 REGIONAL PKWY STE D, SANTA ROSA, CA 95403-8269
(707) 524-9640
(707) 524-9649
Mailing address
3471 REGIONAL PKWY STE D, SANTA ROSA, CA 95403-8269
(707) 524-9640
(707) 524-9649
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G071078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G071078
CA LICENSE
CA
Enumeration date
10/13/2006
Last updated
10/23/2008
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