Individual
MR. AMEN N BERHANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
734 N 204TH ST, SHORELINE, WA 98133-3113
(206) 542-7403
(206) 542-7457
Mailing address
734 N 204TH ST, SHORELINE, WA 98133-3113
(206) 542-7403
(206) 542-7457
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
#750903
WA
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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