Individual
COEMALA SONSIERARAY ALLTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15220 SE 272ND ST, SUITE G, KENT, WA 98042-4241
(253) 630-6768
Mailing address
15220 SE 272ND ST, SUITE G, KENT, WA 98042-4241
(253) 630-6768
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60217010
WA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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