Provider Demographics
NPI:1053184903
Name:MARIN-GOMEZ, LLUNELI (HEALTH EDUCATOR)
Entity type:Individual
Prefix:
First Name:LLUNELI
Middle Name:
Last Name:MARIN-GOMEZ
Suffix:
Gender:F
Credentials:HEALTH EDUCATOR
Other - Prefix:MISS
Other - First Name:LLUNELI
Other - Middle Name:
Other - Last Name:MARIN-GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8436 DELRIDGE WAY SW APT 2
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2248
Mailing Address - Country:US
Mailing Address - Phone:509-379-4547
Mailing Address - Fax:
Practice Address - Street 1:8720 14TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4807
Practice Address - Country:US
Practice Address - Phone:206-658-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator