NPI 1003568031

Shay Michale Fuentes

Practitioner Home Health Aide Bothell, WA

Practice location

Address: 17715 88th Ave NE, Bothell, WA 98011-1822
Phone: (425) 761-1542
Mailing address: 1425 S Puget Dr APT 304, Renton, WA 98055-4329

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Washington →

Registry record

NPI: 1003568031
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2022
Record last updated: 20 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.