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Justin Fernando
Student in an Organized Health Care Education/Training Program in Bellevue, Washington
NPI 1477095040

Justin Fernando is a Student in an Organized Health Care Education/Training Program based in Bellevue, WA. Justin Fernando practices in Bellevue, WA. The NPI Number for Justin Fernando is 1477095040 and holds a License No. 60596660 (Washington).

The current practice location address for Justin Fernando is 15100 Se 38Th St, Bellevue, WA and can be reached out via phone at 425-746-4028.

Location: 15100 Se 38Th St, Bellevue, WA, 98006-1728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477095040
Provider Name
Justin Fernando
Credential
Provider Entity Type
Individual
Gender
Male
Address
15100 Se 38Th St, Bellevue, WA, 98006-1728
Phone Number
425-746-4028
Fax Number
Provider Enumeration Date
11/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15100 Se 38Th St
City
Bellevue
State
Washington
Zip
98006-1728
Phone Number
425-746-4028
Fax Number
person
Provider Business Mailing Address Details
Address
15100 Se 38Th St
City
Bellevue
State
Washington
Zip
98006-1728
Phone Number
425-746-4028
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
60596660 (Washington)
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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