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Individual

MISS RUT EYASU TECLEAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3616 34TH AVE S UNIT 409, SEATTLE, WA 98144-5193
(206) 637-6630
Mailing address
3616 34TH AVE S UNIT 409, SEATTLE, WA 98144-5193
(206) 637-6630

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
61238227
WA

Other

Enumeration date
03/21/2022
Last updated
03/21/2022
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