Individual
SOPHIA LARAINE NIETO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3022 SW 109TH ST, SEATTLE, WA 98146-1777
(206) 988-0596
Mailing address
3022 SW 109TH ST, SEATTLE, WA 98146-1777
(206) 988-0596
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00052295
WA
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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