Provider Demographics
NPI:1144858010
Name:ONATO, FLORYN BORJA (CNA)
Entity type:Individual
Prefix:
First Name:FLORYN
Middle Name:BORJA
Last Name:ONATO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22619 112TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-2656
Mailing Address - Country:US
Mailing Address - Phone:253-486-5426
Mailing Address - Fax:
Practice Address - Street 1:1104 N 41ST PL
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-1595
Practice Address - Country:US
Practice Address - Phone:206-295-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC60538784376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide