Individual
SHAY MICHALE FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17715 88TH AVE NE, BOTHELL, WA 98011-1822
(425) 761-1542
Mailing address
1425 S PUGET DR APT 304, RENTON, WA 98055-4329
(425) 761-1542
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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