Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | MD60805239 | WA |
NPI | 1548581291 |
---|---|
Provider Name | Rebecca Sainato |
First Address | Tacoma, WA 98431-0001 |
Second Address | Tacoma, WA 98431-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2010 |
Last Update Date | 09/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
60805239 | MEDICAL LICENSE (01) | WA |