Individual
AZANAW M AYELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3423 S 255TH ST, KENT, WA 98032-9747
(206) 212-6512
Mailing address
3423 S 255TH ST, KENT, WA 98032-9747
(206) 422-5585
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60692990
WA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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