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Victor Manuel Hernandes Pineda

Physician Assistant, Medical in Lakewood, WA. Individual provider (NPI-1).

NPI number1447731237
StatusActive
Last updated in NPPESDec 4, 2020

Details

NPI
1447731237
Entity type
Individual (NPI-1)
Name
Victor Manuel Hernandes Pineda
Sex
Male
Sole proprietor
No
Enumeration date
Aug 28, 2018
Certification date
Dec 4, 2020
Last updated
Dec 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA61012242WAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

9537 Gravelly Lake Dr Sw
Lakewood, WA 98499-1513

Phone 253-984-2000 · Fax 253-815-9797

Mailing address

9537 Gravelly Lake Dr Sw
Lakewood, WA 98499-1513

Phone 253-984-2000 · Fax 253-815-9797

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