Individual
MARTINE BEDIMO-MBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5412 57TH STREET COURT WEST, APT D1, UNIVERSITY PLACE, WA 98467-4331
(253) 376-2953
Mailing address
5412 57TH STREET CT W APT D1, UNIVERSITY PLACE, WA 98467-4331
(253) 376-2953
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60947198
WA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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