De La Pena, Dominique
De La Pena, Dominique is an individual health care provider with primary practice located at 8862 161St Ave Ne , Redmond WA 98052-7553. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. De La Pena, Dominique can be contacted via phone (425) 883-9532.Contact Information
Primary practice address
8862 161St Ave Ne
Redmond WA 98052-7553
Phone: (425) 883-9532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X |
Profile Details
| NPI number | 1508578741 |
|---|---|
| LBN Legal business name | De La Pena, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2022 |
| Last updated | Dec 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508578741 | NPPES |
| Other | 61296477 | PHARMACY TECH |
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