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Individual

SONJA MARIA PIBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 377-2349
Mailing address
PO BOX 3466, SILVERDALE, WA 98383-3466
(360) 377-2349

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60115633
WA
363A00000X
Physician Assistant
PA9103337
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8558728
WA
01
8887677
MEDICARE
WA
Enumeration date
08/07/2006
Last updated
05/02/2012
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