Provider Demographics
NPI:1750945630
Name:DICHESARE-BENNETT, ARMINDA GAIL (CM60421514)
Entity type:Individual
Prefix:MRS
First Name:ARMINDA
Middle Name:GAIL
Last Name:DICHESARE-BENNETT
Suffix:
Gender:F
Credentials:CM60421514
Other - Prefix:MS
Other - First Name:ARMINDA
Other - Middle Name:GAIL
Other - Last Name:DICHESARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CM60421514
Mailing Address - Street 1:3629 S D ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-6813
Mailing Address - Country:US
Mailing Address - Phone:253-798-6576
Mailing Address - Fax:
Practice Address - Street 1:3629 S D ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-6813
Practice Address - Country:US
Practice Address - Phone:253-798-6576
Practice Address - Fax:253-798-2935
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide