Individual
MR. IBRAHIM ALI IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
4702 DAVIS AVE S APT BB202, RENTON, WA 98055-8239
(206) 697-8181
Mailing address
4702 DAVIS AVE S APT BB202, RENTON, WA 98055-8239
(206) 697-8181
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61151275
WA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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