Provider Demographics
NPI:1891501557
Name:SOMOL, GEMMA-NOELANI
Entity type:Individual
Prefix:
First Name:GEMMA-NOELANI
Middle Name:
Last Name:SOMOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SE 160TH AVE APT TT351
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9693
Mailing Address - Country:US
Mailing Address - Phone:971-352-7669
Mailing Address - Fax:
Practice Address - Street 1:1000 SE 160TH AVE APT TT351
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9693
Practice Address - Country:US
Practice Address - Phone:971-352-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula