Individual
LILY SEYOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12844 MILITARY RD S, TUKWILA, WA 98168-3045
(206) 745-4473
Mailing address
15362 173RD AVE SE, MONROE, WA 98272-2704
(206) 981-0444
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN60664176
WA
363L00000X
Nurse Practitioner
Primary
AP.61221290
WA
Other
Enumeration date
12/10/2019
Last updated
06/21/2022
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