Provider Demographics
NPI:1376435487
Name:TONGCO, CAILA JONELLE
Entity type:Individual
Prefix:
First Name:CAILA
Middle Name:JONELLE
Last Name:TONGCO
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 1:10919 SE 216TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-1378
Mailing Address - Country:US
Mailing Address - Phone:206-304-3281
Mailing Address - Fax:
Practice Address - Street 1:10919 SE 216TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-1378
Practice Address - Country:US
Practice Address - Phone:206-304-3281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program