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JOSEPH MIRAFLOR, PROVIDER – NPI #1205588035
Nursing Home Administrator

NPI Profile for JOSEPH MIRAFLOR in SEATTLE, WA.

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Contact Information

JOSEPH MIRAFLOR, PROVIDER
3217 S KENYON ST
SEATTLE, WA  98118-4049
 Phone: 253-205-7890
 Fax: 206-485-7084
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nursing Home Administrator

 376G00000X
Indicates primary specialty

NPI Profile & details for JOSEPH MIRAFLOR · (Male)

NPI Number 1205588035
Status Active
Credentials PROVIDER
Entity Individual
Enumeration date 01/23/2022
Last updated 01/23/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 755228
  • WA Medicaid 842892036
  • WA Other 842892036 PRIVATE CLIENTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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