Provider Demographics
NPI:1184608192
Name:SORIANO, ARIES MANALO
Entity type:Individual
Prefix:MR
First Name:ARIES
Middle Name:MANALO
Last Name:SORIANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 147TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6055
Mailing Address - Country:US
Mailing Address - Phone:206-624-1401
Mailing Address - Fax:206-624-3508
Practice Address - Street 1:1404 3RD AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2106
Practice Address - Country:US
Practice Address - Phone:206-624-1401
Practice Address - Fax:206-624-3508
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00051937183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician