Provider Demographics
NPI:1184331738
Name:ESPINO, BRENDA MASSIEL
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:MASSIEL
Last Name:ESPINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8802 SHADOW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-2365
Mailing Address - Country:US
Mailing Address - Phone:425-508-8827
Mailing Address - Fax:
Practice Address - Street 1:8802 SHADOW WOOD DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-2365
Practice Address - Country:US
Practice Address - Phone:425-508-8827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter