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GERMONE SOUTHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
(360) 251-9173
Mailing address
4526 FEDERAL AVE # WA, EVERETT, WA 98203-2132
(425) 349-6200

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61462149
WA

Other

Enumeration date
10/20/2016
Last updated
02/06/2025
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