Individual
MS. DIANE JEANNE SONNTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
205 CLARK PL SE, TUMWATER, WA 98501-4062
(360) 264-5521
Mailing address
1527 143 AVE, TENINO, WA 98589
(360) 264-5521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60018972
WA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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