Healthcare Provider Details

I. General information

NPI: 1083545313
Provider Name (Legal Business Name): JOSHUA QUAO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 S 334TH LN APT E202
FEDERAL WAY WA
98003-8940
US

IV. Provider business mailing address

1715 S 334TH LN APT E202
FEDERAL WAY WA
98003-8940
US

V. Phone/Fax

Practice location:
  • Phone: 409-977-1515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: