Most Relevant Information
Provider Data
| NPI Number: | 1003695628 |
| Provider Name: | DEINELLE SHIMEI SANDICO PASCUAL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/22/2023 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
4526 FEDERAL AVE
EVERETT
WA
982032132
Practice Location Phone/Fax
| Phone: | 4253496200 |
| Fax: |
Provider Mailing Location
4526 FEDERAL AVE
EVERETT
WA
982032132
Provider Mailing Phone/Fax
| Phone: | 4253496200 |
| Fax: |