Individual
PHATYM BAMBA EPSE KONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
16003 ADMIRALTY WAY APT D203, LYNNWOOD, WA 98087-6488
(425) 678-5212
Mailing address
16003 ADMIRALTY WAY APT D203, LYNNWOOD, WA 98087-6488
(425) 678-5212
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
PC61287625
WA
376K00000X
Nurse's Aide
NC61164097
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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