Individual
AZEB HAGOS HAILEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 PROVIDENCE POINT DR SE, ISSAQUAH, WA 98029-7219
(425) 391-2800
Mailing address
23617 112TH AVE SE APT F102, KENT, WA 98031-5409
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
NC60266504
WA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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