Individual
YOSIEF M IDRISADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7213 196TH ST SW, LYNNWOOD, WA 98036-4418
(206) 787-2861
Mailing address
7213 196TH ST SW, LYNNWOOD, WA 98036-4418
(206) 787-2861
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
603309439
WA
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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