Provider Demographics
NPI:1871395590
Name:SEGURA, SONIA
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:SEGURA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 COBBLESTONE AVE
Mailing Address - Street 2:
Mailing Address - City:OTHELLO
Mailing Address - State:WA
Mailing Address - Zip Code:99344-1911
Mailing Address - Country:US
Mailing Address - Phone:509-913-0705
Mailing Address - Fax:
Practice Address - Street 1:965 COBBLESTONE AVE
Practice Address - Street 2:
Practice Address - City:OTHELLO
Practice Address - State:WA
Practice Address - Zip Code:99344-1911
Practice Address - Country:US
Practice Address - Phone:509-913-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter