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Individual

SOSSNA MEKBIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8923 NE 104TH ST, VANCOUVER, WA 98662-1439
(503) 453-0227
(360) 952-8081
Mailing address
8923 NE 104TH ST, VANCOUVER, WA 98662-1439
(503) 453-0227
(368) 952-8081

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
604048302
WA

Other

Enumeration date
12/06/2023
Last updated
12/06/2023
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