Individual
MENELIK BELETE WORKNEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8215 NE 29TH AVE, VANCOUVER, WA 98665-0111
(360) 952-1508
(360) 314-4942
Mailing address
8215 NE 29TH AVE, VANCOUVER, WA 98665-0111
(360) 952-1508
(360) 314-4942
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
605140309
WA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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