Individual
MR. SAMMY MUTHORA MBAYA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HCA
Contact information
Practice address
2018 156TH AVE NE STE 2018156, BELLEVUE, WA 98007-3825
(425) 440-2727
Mailing address
2018 156TH AVE NE STE 2018156, BELLEVUE, WA 98007-3825
(425) 440-2727
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
60992210
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
842212536
NON MEDICAL
WA
01
—
IFS.FS.60992210
IN- HOME CARE AGENCY
WA
Enumeration date
05/17/2020
Last updated
12/15/2020
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