Provider Demographics
NPI:1811259849
Name:SWOKOWSKI, SONYA NICHOLE (LMP)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:NICHOLE
Last Name:SWOKOWSKI
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 1:10513 SILVERDALE WAY NW
Mailing Address - Street 2:SUITE. #102
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9499
Mailing Address - Country:US
Mailing Address - Phone:360-698-4411
Mailing Address - Fax:360-698-6953
Practice Address - Street 1:10513 SILVERDALE WAY NW
Practice Address - Street 2:SUITE. #102
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9499
Practice Address - Country:US
Practice Address - Phone:360-698-4411
Practice Address - Fax:360-698-6953
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60253849174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist