Individual
EDMUND CHINEDU OKOLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4527 S HENDERSON ST, SEATTLE, WA 98118-4912
(206) 391-6762
Mailing address
PO BOX 20541, SEATTLE, WA 98102-1541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796366
—
WA
Enumeration date
04/14/2008
Last updated
04/14/2008
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