Individual
SIDDIQULLAH KAKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
18836 111TH AVENUE CT E, PUYALLUP, WA 98374-6465
(206) 945-5729
Mailing address
18836 111TH AVENUE CT E, PUYALLUP, WA 98374-6465
(206) 945-5729
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
WA
251B00000X
Case Management Agency
Primary
—
WA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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