Individual
MEKLIT MENCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15718 53RD PL W, EDMONDS, WA 98026-4739
(425) 563-4139
(425) 740-0233
Mailing address
15718 53RD PL W, EDMONDS, WA 98026-4739
(425) 563-4139
(425) 740-0233
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61582058
WA
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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