Individual
XUAN SOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COOPER POINT RD SW, SUIT 26, OLYMPIA, WA 98502-8705
(469) 442-9880
Mailing address
549 75TH WAY NE, OLYMPIA, WA 98506-9711
(469) 442-9880
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
60608773
WA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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