Provider Demographics
NPI:1164145900
Name:PIMENTEL, HELEN DEYANIRA
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:DEYANIRA
Last Name:PIMENTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BIRCHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02132-6302
Mailing Address - Country:US
Mailing Address - Phone:857-258-9968
Mailing Address - Fax:
Practice Address - Street 1:10 BIRCHWOOD ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02132-6302
Practice Address - Country:US
Practice Address - Phone:857-258-9968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider