Shay Michale Fuentes
Home Health Aide in Bothell, WA. Individual provider (NPI-1).
NPI number1003568031
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1003568031
- Entity type
- Individual (NPI-1)
- Name
- Shay Michale Fuentes
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2022
- Certification date
- Jan 20, 2022
- Last updated
- Jan 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
17715 88th Ave NeBothell, WA 98011-1822
Phone 425-761-1542
Mailing address
1425 S Puget Dr Apt 304Renton, WA 98055-4329
Phone 425-761-1542
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