Provider Demographics
NPI:1073283875
Name:JARAMILLO, MANUEL E
Entity Type:Individual
Prefix:MR
First Name:MANUEL
Middle Name:E
Last Name:JARAMILLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3911 SW 314TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-4014
Mailing Address - Country:US
Mailing Address - Phone:206-478-5606
Mailing Address - Fax:
Practice Address - Street 1:3911 SW 314TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-4014
Practice Address - Country:US
Practice Address - Phone:206-478-5606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter