MEDICARE: JAMEELEY PINEDA EAMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC60609972	WA

General Provider Information

NPI Number	:	1164894481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMEELEY PINEDA EAMP

Provider Business Mailing Address
First Line	:	4627 S ORCHARD ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3838
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4627 S ORCHARD ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3838
Country	:	US
Telephone Number	:	360-349-6443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	10/26/2015

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Directions to “ JAMEELEY PINEDA EAMP” Practice Location

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