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Sunraksa Sylvester So
Specialist in Puyallup, Washington
NPI 1265604573

Sunraksa Sylvester So is a Specialist based in Puyallup, WA. Sunraksa Sylvester So practices in Puyallup, WA. The NPI Number for Sunraksa Sylvester So is 1265604573 and holds a License No. MA00025378 (Washington).

The current practice location address for Sunraksa Sylvester So is 812 39Th Ave Sw Ste D, Puyallup, WA and can be reached out via phone at 253-841-2200 and via fax at 253-848-1075.

Location: 812 39Th Ave Sw Ste D, Puyallup, WA, 98375-9307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265604573
Provider Name
Sunraksa Sylvester So
Credential
Provider Entity Type
Individual
Gender
Male
Address
812 39Th Ave Sw Ste D, Puyallup, WA, 98375-9307
Phone Number
253-841-2200
Fax Number
253-848-1075
Provider Enumeration Date
03/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
812 39Th Ave Sw Ste D
City
Puyallup
State
Washington
Zip
98373-5915
Phone Number
253-841-2200
Fax Number
253-848-1075
person
Provider Business Mailing Address Details
Address
812 39Th Ave Sw Ste D
City
Puyallup
State
Washington
Zip
98373-5915
Phone Number
253-841-2200
Fax Number
253-848-1075
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00025378 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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