Individual
EFREM T KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4914 61ST DR NE, MARYSVILLE, WA 98270-7552
(206) 330-8331
(360) 517-7808
Mailing address
4914 61ST DR NE, MARYSVILLE, WA 98270-7552
(206) 330-8331
(360) 517-7808
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
758138
WA
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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