-- COEMALA SONSIERARAY ALLTRA --
Individual Provider (NPI-1)
Active
Specialist
Provider Information
- NPI Number
1770863664- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 15220 SE 272ND ST SUITE G, KENT, WA, 980424241
- Phone
- (253) 630-6768
Specialties & Taxonomies
Specialist
Primary License: WA #ma 60217010