Individual
BELAYNESH K BIRESAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17260 76TH AVENUE CT E, PUYALLUP, WA 98375-2411
(206) 489-7520
Mailing address
17260 76TH AVENUE CT E, PUYALLUP, WA 98375-2411
(206) 489-7520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60531339
WA
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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