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Individual

SEREYRATH LIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 261-7848
(360) 414-1342
Mailing address
2425 31ST AVE SW UNIT B, PUYALLUP, WA 98373-4012
(253) 330-4777

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61521919
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61521919
WA

Other

Enumeration date
01/23/2024
Last updated
04/29/2026
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