Provider Demographics
NPI:1962147876
Name:HERNANDEZ PEREZ, LYNNETTE MARIE (MEDICAL INTERPRETER)
Entity type:Individual
Prefix:MRS
First Name:LYNNETTE
Middle Name:MARIE
Last Name:HERNANDEZ PEREZ
Suffix:
Gender:F
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5722 RIO GRANDE LN
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-4698
Mailing Address - Country:US
Mailing Address - Phone:360-846-0334
Mailing Address - Fax:
Practice Address - Street 1:5722 RIO GRANDE LN
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-4698
Practice Address - Country:US
Practice Address - Phone:360-846-0334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC19361171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter