Individual
MRS. JACQUELINE GOMEZ,PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3900 FACTORIA BLVD SE, FACTORIA PLAZA SUITE #1, BELLEVUE, WA 98006-1234
(425) 445-0491
(206) 772-1163
Mailing address
8204 S 124TH ST, SEATTLE, WA 98178-4930
(425) 445-0491
(206) 772-1163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020125
WA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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