Individual
AMRAN B ABDULLAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3011
Mailing address
25306 117TH SW, SAME, KENT, WA 98030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60408764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710099478
—
WA
Enumeration date
06/15/2017
Last updated
06/15/2017
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