Omana-Daniels, Rebecca Venezuela

Omana-Daniels, Rebecca Venezuela is an individual health care provider with primary practice located at 1608 S J St Fl 3 , Tacoma WA 98405-4930. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Omana-Daniels, Rebecca Venezuela can be contacted via phone (253) 274-7504.

Contact Information

Primary practice address
1608 S J St Fl 3 Tacoma WA 98405-4930
Phone: (253) 274-7504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO60519287 Washington

Profile Details

NPI number 1639434319
LBN Legal business name Omana-Daniels, Rebecca Venezuela
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Dec 8th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639434319 NPPES
Washington MEDICAID 2145783

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