Individual
TESHOME ABATE HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROVIDER
Contact information
Practice address
2117 127TH PL SW, EVERETT, WA 98204-5580
(425) 355-5159
(360) 386-9890
Mailing address
2117 127TH PL SW, EVERETT, WA 98204-5580
(425) 355-5159
(360) 386-9890
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
751102
WA
Other
Enumeration date
10/07/2024
Last updated
10/08/2024
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