Mami Sorajo, RD | |
2904 4th Ave Ne, Ste 300, Puyallup, WA 98372-7053 | |
(253) 840-6448 | |
Not Available |
Full Name | Mami Sorajo |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 23 Years |
Location | 2904 4th Ave Ne, Puyallup, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093146292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI 00001474 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
International Community Health Services | 5799695672 | 76 |
Provider Name | International Community Health Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376659151 PECOS PAC ID: 5799695672 Enrollment ID: O20040301000204 |
Mailing Address | Practice Location Address |
---|---|
Mami Sorajo, RD Po Box 2170, Sumner, WA 98390-0480 Ph: (253) 840-2313 | Mami Sorajo, RD 2904 4th Ave Ne, Ste 300, Puyallup, WA 98372-7053 Ph: (253) 840-6448 |
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