Individual
LICHA HABTTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14231 55TH AVE W, EDMONDS, WA 98026-3814
(206) 335-0057
(425) 678-8002
Mailing address
14231 55TH AVE W, EDMONDS, WA 98026-3814
(206) 335-0057
(425) 678-8002
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
756373
WA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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