Individual
WINNIE MOKOBI ELIJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19466 115TH PL SE, KENT, WA 98031-0074
(909) 642-4326
Mailing address
19466 115TH PL SE, KENT, WA 98031-0074
(909) 642-4326
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
61386079
WA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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