Provider Demographics
NPI:1326514829
Name:PASIA, GERMELYN MANALO
Entity Type:Individual
Prefix:
First Name:GERMELYN
Middle Name:MANALO
Last Name:PASIA
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 1:5740M MLK JR WAY S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2622
Mailing Address - Country:US
Mailing Address - Phone:206-300-3820
Mailing Address - Fax:
Practice Address - Street 1:5740M MLK JR WAY S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2622
Practice Address - Country:US
Practice Address - Phone:206-300-3820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC60257108376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide