Individual
THEOPHILE KOUAM PEUMEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3512 ALBION PL N, SEATTLE, WA 98103-8875
(206) 461-6990
Mailing address
6512 208TH ST SW, APT. F11, LYNNWOOD, WA 98036-7436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00059330
WA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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