Individual
YOHANNES TAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3251
Mailing address
316 NW RICHMOND BEACH RD APT 5, SHORELINE, WA 98177-3124
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60489295
WA
164X00000X
Licensed Vocational Nurse
LP60429900
WA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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