Individual
HIBO NURA SAMATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S 188TH ST STE 240, SEATAC, WA 98188-4680
(206) 957-2022
Mailing address
4800 S 188TH ST STE 240, SEATAC, WA 98188-4680
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00056847
WA
Other
Enumeration date
05/11/2022
Last updated
05/19/2022
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