Individual
KADRA A MOHAMED I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3542 S 263RD ST, KENT, WA 98032-7041
(614) 615-2864
Mailing address
3542 S 263RD ST, KENT, WA 98032-7041
(614) 615-2864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60617078
WA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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