Individual
PHAWADEE DEE PHOMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3419 S 203RD ST, SEATAC, WA 98198-5755
(206) 889-7769
Mailing address
3419 S 203RD ST, SEATAC, WA 98198-5755
(206) 889-7769
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60903719
WA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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