Provider Demographics
NPI:1366053076
Name:PELAYO, ADRIANA MARIA (CMI)
Entity type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:MARIA
Last Name:PELAYO
Suffix:
Gender:F
Credentials:CMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 S 236TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-3388
Mailing Address - Country:US
Mailing Address - Phone:253-653-0013
Mailing Address - Fax:
Practice Address - Street 1:5323 S 236TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-3388
Practice Address - Country:US
Practice Address - Phone:253-653-0013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA16516171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter