Individual
ROBERT JOSEPH BUNNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
5008 CORSON AVE S, SEATTLE, WA 98108-2323
(206) 602-9361
Mailing address
5008 CORSON AVE S, SEATTLE, WA 98108-2323
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00281602
CA
376K00000X
Nurse's Aide
00968569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00968569
CDPH
CA
Enumeration date
10/02/2018
Last updated
10/02/2018
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