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: |