Individual
MOHAMED COULIBALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4038 SW 327TH PL, FEDERAL WAY, WA 98023-2650
(253) 306-9296
Mailing address
4038 SW 327TH PL, FEDERAL WAY, WA 98023-2650
(253) 306-9296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60037861
WA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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