| Serenemind Solutions Llc | |
|
33530 1st Way S Ste 102 Federal Way WA 98003-7332 | |
| (206) 915-6166 | |
| (206) 673-8050 |
| Full Name | Serenemind Solutions Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33530 1st Way S Ste 102, Federal Way, Washington |
| Authorized Official Name and Position | Miriam Bagalwa (OWNER) |
| Authorized Official Contact | 2069156166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenemind Solutions Llc 15127 Main St E Unit 104 Pmb 231 Sumner WA 98390-2689 Ph: (253) 648-0340 | Serenemind Solutions Llc 33530 1st Way S Ste 102 Federal Way WA 98003-7332 Ph: (206) 915-6166 |
| NPI Number | 1528822863 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 1052758679 |
|---|---|
| Medicare Enrollment ID | O20240319001388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528822863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Miriam Neema Bagalwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144812009 PECOS PAC ID: 2466869698 Enrollment ID: I20210405002144 |
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