Provider Demographics
NPI:1073754701
Name:SOIMIS, SHARMINE LAVAL (LMP)
Entity Type:Individual
Prefix:MRS
First Name:SHARMINE
Middle Name:LAVAL
Last Name:SOIMIS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22315 HIGHWAY 99 STE B
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8065
Mailing Address - Country:US
Mailing Address - Phone:206-604-3580
Mailing Address - Fax:
Practice Address - Street 1:11738 5TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4902
Practice Address - Country:US
Practice Address - Phone:206-604-3580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00025373225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist