Individual
MR. LOGHAN PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 MAYBELL ST, SUMNER, WA 98390-1245
(253) 320-1227
Mailing address
1111 MAYBELL ST, SUMNER, WA 98390-1245
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC54845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC54845
DSHS CERTIFICATE
WA
Enumeration date
05/13/2021
Last updated
05/14/2021
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