Provider Demographics
NPI:1780261396
Name:WYMERSZBERG, MIRTA SILVINA (MEDICAL INTERPRETER)
Entity type:Individual
Prefix:
First Name:MIRTA
Middle Name:SILVINA
Last Name:WYMERSZBERG
Suffix:
Gender:F
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9422 20TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-3238
Mailing Address - Country:US
Mailing Address - Phone:206-403-3096
Mailing Address - Fax:
Practice Address - Street 1:9422 20TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-3238
Practice Address - Country:US
Practice Address - Phone:206-403-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter