MEDICARE: MRS. SHARMINE LAVAL SOIMIS L.M.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00025373	WA

General Provider Information

NPI Number	:	1073754701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARMINE LAVAL SOIMIS L.M.P.

Provider Business Mailing Address
First Line	:	22315 HIGHWAY 99 STE B
Second Line	:
City	:	EDMONDS
State	:	WA
Zip	:	98026-8065
Country	:	US
Telephone Number	:	206-604-3580
Fax Number	:

Provider Business Practice Location Address
First Line	:	11738 5TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-4902
Country	:	US
Telephone Number	:	206-604-3580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2009
Last Update Date	:	03/09/2009

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