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Individual

ZAMZAM I MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 307-1848
Mailing address
27916 PACIFIC HWY S APT 917, FEDERAL WAY, WA 98003-2910
(206) 816-0396

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60960666
WA

Other

Enumeration date
12/05/2023
Last updated
12/05/2023
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