Individual
KRIS SODETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 258-3900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007239
WA
Other
Enumeration date
06/20/2007
Last updated
05/24/2013
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