Provider Demographics
NPI:1104255066
Name:QUISAY, PATRICIA CABILING (LMP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CABILING
Last Name:QUISAY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:QUISAY
Other - Last Name:PRESTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:37710 27TH PL S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7542
Mailing Address - Country:US
Mailing Address - Phone:253-508-2812
Mailing Address - Fax:
Practice Address - Street 1:530 S 336TH ST STE C
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6383
Practice Address - Country:US
Practice Address - Phone:253-874-3857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021399174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist