Healthcare Provider Details

I. General information

NPI: 1295613016
Provider Name (Legal Business Name): MARYANN VALENTI-ROS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 YAKIMA AVE
TACOMA WA
98405-4851
US

IV. Provider business mailing address

6013 E PORTLAND AVE
TACOMA WA
98404-3504
US

V. Phone/Fax

Practice location:
  • Phone: 253-346-4004
  • Fax:
Mailing address:
  • Phone: 253-346-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCG61586505
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: