Organization
COMMUNITY BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOTHYRY CHI LM, CPM (OWNER)
(360) 481-0105
Entity
Organization
Contact information
Practice address
3663 COLLEGE ST SE STE C, LACEY, WA 98503-2303
(360) 481-0105
(360) 764-2724
Mailing address
3663 COLLEGE ST SE STE C, LACEY, WA 98503-2303
(360) 481-0105
(360) 764-2724
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
06/01/2022
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