Individual
SONJA RAKOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2009 NE 117TH ST, VANCOUVER, WA 98686-4022
(360) 566-9112
Mailing address
2009 NE 117TH ST, VANCOUVER, WA 98686-4022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60849166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013051606
—
WA
Enumeration date
05/20/2020
Last updated
05/20/2020
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