Individual
ANGELINA ESPIRITU JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6707 BEACON AVE S, SEATTLE, WA 98108-3622
(206) 778-4857
Mailing address
6707 BEACON AVE S, SEATTLE, WA 98108-3622
(206) 778-4857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9057050
—
WA
Enumeration date
04/18/2007
Last updated
07/09/2007
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