Provider Demographics
NPI:1831709807
Name:CORNEJO, PIERINA (INTERPRETER)
Entity type:Individual
Prefix:
First Name:PIERINA
Middle Name:
Last Name:CORNEJO
Suffix:
Gender:F
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 S 330TH ST APT B8
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6484
Mailing Address - Country:US
Mailing Address - Phone:253-218-8568
Mailing Address - Fax:
Practice Address - Street 1:1825 S 330TH ST APT B8
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6484
Practice Address - Country:US
Practice Address - Phone:253-218-8568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0416265OtherL&I PROVIDER ACCOUNT NUMBER