Individual
HABTAMU D POAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 S FREYA ST, SPOKANE, WA 99202-5238
(509) 475-0038
Mailing address
705 S FREYA ST, SPOKANE, WA 99202-5238
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
756752
WA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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