Individual
MISS MISRAK GEBRIE HEREGO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
32223 25TH AVE SW, FEDERAL WAY, WA 98023-2508
(206) 349-6892
Mailing address
32223 25TH AVE SW, FEDERAL WAY, WA 98023-2508
(206) 349-6892
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
757264
WA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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