Individual
ALICIA D SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5612 176TH ST E, PUYALLUP, WA 98375-9304
(253) 876-7600
Mailing address
5612 176TH ST E, PUYALLUP, WA 98375-9304
(253) 876-7600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60516806
WA
Other
Enumeration date
10/20/2014
Last updated
12/12/2014
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