Individual
ADAMA JENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN-BSN
Contact information
Practice address
252 153RD PL SE, BELLEVUE, WA 98007-5237
(425) 931-7475
Mailing address
252 153RD PL SE, BELLEVUE, WA 98007-5237
(425) 931-7475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00173412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDL6PS3CJ43B
STATE DRIVER'S LICENSE
WA
Enumeration date
02/23/2023
Last updated
02/23/2023
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