Individual
ABIY RETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22817 16TH AVE S, DES MOINES, WA 98198-6481
(206) 883-8312
Mailing address
22817 16TH AVE S, DES MOINES, WA 98198-6481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60228568
WA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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