Individual
SOPHY PRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2 UPPER RAGSDALE DR, MONTEREY, CA 93940-5736
(831) 333-0999
Mailing address
2 UPPER RAGSDALE DR, MONTEREY, CA 93940-5736
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95002489
CA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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