Individual provider · Type 1 NPI
Sunraksa Sylvester So
Specialist · Puyallup, WA
NPI number
1265604573
Active
Practice location
812 39th Ave SW Ste D
Puyallup, WA 98373-5915
Fax (253) 848-1075
Mailing address
5602 176th St E Ste G102103
Puyallup, WA 98375-9307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00025378 (WA) |
Specialist: 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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About NPI 1265604573
Sunraksa Sylvester So's National Provider Identifier is 1265604573, issued on Mar 26, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Puyallup, WA. The record was last updated on Aug 9, 2023.