Individual
ELSA T KASSAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 148TH PL SW, LYNNWOOD, WA 98087-2169
(206) 852-6845
Mailing address
101 148TH PL SW, LYNNWOOD, WA 98087-2169
(206) 852-6845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00140258
WA
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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