Individual
WILLIAM KIBABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
5197 NW LOWER RIVER RD BLDG 1, VANCOUVER, WA 98660-1013
(360) 205-1222
Mailing address
1920 S 331ST ST, FEDERAL WAY, WA 98003-9468
(206) 806-3176
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61388383
WA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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