Individual
JAVANTAE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 SW HENDERSON ST, SEATTLE, WA 98106-2580
(346) 300-8332
Mailing address
1105 SW HENDERSON ST, SEATTLE, WA 98106-2580
(346) 300-8332
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA61393862
WA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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