Provider Demographics
NPI:1396110441
Name:HOLMES, PELAR ARAMINTA (LMP)
Entity type:Individual
Prefix:MRS
First Name:PELAR
Middle Name:ARAMINTA
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12294 FRANCES ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-3449
Mailing Address - Country:US
Mailing Address - Phone:360-920-3817
Mailing Address - Fax:
Practice Address - Street 1:820 REED ST. SUITE A
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-3449
Practice Address - Country:US
Practice Address - Phone:360-920-3817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60584343172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker