Provider Demographics
NPI:1942772678
Name:TRIGUERO, ANIELKA
Entity Type:Individual
Prefix:
First Name:ANIELKA
Middle Name:
Last Name:TRIGUERO
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 1:25028 104TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-9310
Mailing Address - Country:US
Mailing Address - Phone:206-764-8019
Mailing Address - Fax:253-480-2937
Practice Address - Street 1:25028 104TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-9310
Practice Address - Country:US
Practice Address - Phone:206-764-8019
Practice Address - Fax:253-480-2937
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator