Individual
DANIEL DEJENIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN60804372
Contact information
Practice address
15631 ASH WAY APT C414, LYNNWOOD, WA 98087-5332
(425) 420-7674
Mailing address
15631 ASH WAY APT C414, LYNNWOOD, WA 98087-5332
(425) 420-7674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60804372
WA
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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