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Individual

SYLVIA MORALES-BRONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 918-0604
(360) 456-6504
Mailing address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 918-0604
(360) 456-6504

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD00049261
WA
208000000X
Pediatrics Physician
Primary
MD00049261
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2000297
WA
01
MD00049261
WASHINGTON STATE DEPT. OF HEALTH
WA
Enumeration date
06/17/2008
Last updated
04/21/2016
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