Provider Demographics
NPI:1205186277
Name:GERIMONTE, DEAN RAYMOND II (DC)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:RAYMOND
Last Name:GERIMONTE
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11319 122ND ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-2819
Mailing Address - Country:US
Mailing Address - Phone:253-273-0624
Mailing Address - Fax:
Practice Address - Street 1:11319 122ND ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-2819
Practice Address - Country:US
Practice Address - Phone:253-273-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00003662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor