Individual
XAYNALIN SOULISACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
(425) 747-7892
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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