Most Relevant Information
Provider Data
NPI Number: | 1003530015 |
Provider Name: | PAULINE KNKIM WASHINGTON |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 1479640822 |
Most Important Dates
Enumeration Date: | 10/03/2022 |
Last Updated: | 07/24/2023 |
Provider Practice Location
4343 WILLIAMSBOURGH DR
SACRAMENTO
CA
958232006
Practice Location Phone/Fax
Phone: | 9163953552 |
Fax: |
Provider Mailing Location
4343 WILLIAMSBOURGH DR
SACRAMENTO
CA
958232006
Provider Mailing Phone/Fax
Phone: | 9163953552 |
Fax: |