Individual
MR. BERHANE A KBROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19628 82ND PL W, EDMONDS, WA 98026-6412
(206) 258-9737
Mailing address
19628 82ND PL W, EDMONDS, WA 98026-6412
(206) 258-9737
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
604299666
WA
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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