Individual
MR. JOSEPH MIRAFLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROVIDER
Contact information
Practice address
3217 S KENYON ST, SEATTLE, WA 98118-4049
(253) 205-7890
(206) 485-7084
Mailing address
11211 74TH AVE E, PUYALLUP, WA 98373-4683
(253) 285-5995
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
755228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
842892036
PRIVATE CLIENTS
WA
05
—
842892036
—
WA
Enumeration date
01/23/2022
Last updated
01/23/2022
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