Provider Demographics
NPI:1669229886
Name:HOJEM, ROSMIC CALVO
Entity type:Individual
Prefix:
First Name:ROSMIC
Middle Name:CALVO
Last Name:HOJEM
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 1:4159 134TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1317
Mailing Address - Country:US
Mailing Address - Phone:206-412-8571
Mailing Address - Fax:
Practice Address - Street 1:4159 134TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1317
Practice Address - Country:US
Practice Address - Phone:206-412-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare