Provider Demographics
NPI:1295392710
Name:EUGENIO, REKHA
Entity Type:Individual
Prefix:
First Name:REKHA
Middle Name:
Last Name:EUGENIO
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 1:7308 225TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:BUCKLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98321-7479
Mailing Address - Country:US
Mailing Address - Phone:253-320-9639
Mailing Address - Fax:
Practice Address - Street 1:7413 CORAL LN SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-5046
Practice Address - Country:US
Practice Address - Phone:253-320-9639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide