Individual
MEKONNEN GASHAW WOLDEMARIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21512 38TH AVE W, MOUNTLAKE TERRACE, WA 98043-5722
(206) 899-6239
Mailing address
21512 38TH AVE W, MOUNTLAKE TERRACE, WA 98043-5722
(206) 899-6239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60128714
WA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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