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Individual

SAMUEL WOLDEMARIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
8450 27TH STREET CT E, EDGEWOOD, WA 98371-1923
(253) 225-3495
Mailing address
8450 27TH STREET CT E, EDGEWOOD, WA 98371-1923

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN6076652
WA

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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