Individual
KHADIJAH K. BAKARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493
Mailing address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(253) 798-4500
(253) 798-4493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00052844
WA
164W00000X
Licensed Practical Nurse
Primary
LP00059431
WA
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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