Individual
AZANAW SISAY MEKONENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN61301805
Contact information
Practice address
5101 BEAUMONT DR, EVERETT, WA 98203-2412
(206) 531-9514
Mailing address
5101 BEAUMONT DR, EVERETT, WA 98203-2412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61301805
WA
Other
Enumeration date
10/05/2023
Last updated
12/01/2023
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