Provider Demographics
NPI:1376124156
Name:HINOJOZA, PABLO JR
Entity Type:Individual
Prefix:
First Name:PABLO
Middle Name:
Last Name:HINOJOZA
Suffix:JR
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 1:25805 33RD AVE S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-9701
Mailing Address - Country:US
Mailing Address - Phone:206-604-5666
Mailing Address - Fax:
Practice Address - Street 1:25805 33RD AVE S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-9701
Practice Address - Country:US
Practice Address - Phone:206-604-5666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter