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Victor Manuel Hernandes Pineda
Medical Physician Assistant in Lakewood, Washington
NPI 1447731237

Victor Manuel Hernandes Pineda is a Medical Physician Assistant based in Lakewood, WA and is specialized in Medical. Victor Manuel Hernandes Pineda practices in Lakewood, WA. The NPI Number for Victor Manuel Hernandes Pineda is 1447731237 and holds a License No. (Washington).

The current practice location address for Victor Manuel Hernandes Pineda is 9537 Gravelly Lake Dr Sw, Lakewood, WA and can be reached out via phone at 253-984-2000 and via fax at 253-815-9797. You can also correspond with Victor Manuel Hernandes Pineda through the mailing address at 9537 GRAVELLY LAKE DR SW, LAKEWOOD, WA - 98499-1513 (mailing address contact number: 253-984-2000).

Location: 9537 Gravelly Lake Dr Sw, Lakewood, WA, 98499-1513
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Provider Profile Details
NPI Number
1447731237
Provider Name
Victor Manuel Hernandes Pineda
Credential
Provider Entity Type
Individual
Gender
Male
Address
9537 Gravelly Lake Dr Sw, Lakewood, WA, 98499-1513
Phone Number
253-984-2000
Fax Number
253-815-9797
Provider Enumeration Date
08/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2147900 05 WA
institution
Provider Business Practice Location Address Details
Address
9537 Gravelly Lake Dr Sw
City
State
Zip
98499-1513
Phone Number
253-984-2000
Fax Number
253-815-9797
person
Provider Business Mailing Address Details
Address
9537 Gravelly Lake Dr Sw
City
State
Zip
98499-1513
Phone Number
253-984-2000
Fax Number
253-815-9797
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA61012242 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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