Sunraksa Sylvester So
Sunraksa Sylvester So is a Specialist in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2008
Practice location Address checks out
812 39th Ave SW Ste DPuyallup, WA 98373-5915
Phone: (253) 841-2200
Fax: (253) 848-1075
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence MA00025378 (WA) |
|---|
Record details
| NPI number | 1265604573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2008 |
| Last updated in NPPES | August 9, 2023 |
| Certification date | August 9, 2023 |
| Mailing address | 5602 176th St E Ste G102103, Puyallup, WA 98375-9307 |
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