Provider Demographics
NPI:1184179632
Name:FLEMMING, SHARON
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:FLEMMING
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 1:814 S 227TH PL UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-6977
Mailing Address - Country:US
Mailing Address - Phone:206-915-6051
Mailing Address - Fax:
Practice Address - Street 1:814 S 227TH PL UNIT 2
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-6977
Practice Address - Country:US
Practice Address - Phone:206-915-6051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other