Individual
SHAYELEEN QUINATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3275
—
WA
Enumeration date
08/29/2019
Last updated
08/29/2019
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