Individual
SISAY HAILEMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NAC
Contact information
Practice address
3522 199TH PL SW, LYNNWOOD, WA 98036-9109
(206) 434-2239
(425) 582-2225
Mailing address
3522 199TH PL SW, LYNNWOOD, WA 98036-9109
(206) 434-2239
(425) 582-2225
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
759013
WA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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