Individual
YENEALEM TESFAYE TASSEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20834 4TH PL S, DES MOINES, WA 98198-3613
(206) 488-9680
(206) 480-0721
Mailing address
20834 4TH PL S, DES MOINES, WA 98198-3613
(206) 488-9680
(206) 480-0721
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
757808
WA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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