Provider Demographics
NPI:1811209984
Name:SOCH, ROSELEE ANN SR (CERTIFIED NURSES AID)
Entity Type:Individual
Prefix:MISS
First Name:ROSELEE
Middle Name:ANN
Last Name:SOCH
Suffix:SR
Gender:F
Credentials:CERTIFIED NURSES AID
Other - Prefix:MISS
Other - First Name:ROSELEE
Other - Middle Name:ANN
Other - Last Name:SOCH
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:CERTIFIED NURSES AID
Mailing Address - Street 1:908 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4636
Mailing Address - Country:US
Mailing Address - Phone:425-268-5061
Mailing Address - Fax:
Practice Address - Street 1:908 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4636
Practice Address - Country:US
Practice Address - Phone:425-268-5061
Practice Address - Fax:360-424-3438
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC 10057941146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic