Organization
LUNA ADULT FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMO ADEN ARNP (OWNER)
(206) 819-4342
Entity
Organization
Contact information
Practice address
513 ALEXANDER AVE, KENT, WA 98030-6070
(206) 819-4342
Mailing address
513 ALEXANDER AVE, KENT, WA 98030-6070
(206) 819-4342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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