Individual
ENRIQUE SOMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 29TH ST NW, PUYALLUP, WA 98371
(253) 376-1702
Mailing address
1107 29TH ST NW, PUYALLUP, WA 98371-3502
(253) 376-1702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60190948
WA
Other
Enumeration date
02/10/2014
Last updated
05/26/2019
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