Provider Demographics
NPI:1457094526
Name:SAUILEONE, SOLEMA (MHT)
Entity Type:Individual
Prefix:
First Name:SOLEMA
Middle Name:
Last Name:SAUILEONE
Suffix:
Gender:F
Credentials:MHT
Other - Prefix:
Other - First Name:SOLEMA
Other - Middle Name:
Other - Last Name:SAUILEONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHT
Mailing Address - Street 1:7903 59TH AVENUE CT W APT L103
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-8547
Mailing Address - Country:US
Mailing Address - Phone:206-476-1202
Mailing Address - Fax:
Practice Address - Street 1:721 FAWCETT AVE STE 204
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5502
Practice Address - Country:US
Practice Address - Phone:253-383-3921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician