Individual
DR. EPIPHANY LOTOTELE NICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 16TH AVE E # CHS545, SEATTLE, WA 98112-5211
(206) 326-3769
Mailing address
125 16TH AVE E # CHS545, SEATTLE, WA 98112-5211
(206) 326-3769
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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