Individual
KEFYALEW YIFUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3010 S 148TH ST, SEATAC, WA 98168-4250
(206) 240-0716
Mailing address
3010 S 148TH ST, SEATAC, WA 98168-4250
(206) 240-0716
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10079085
WA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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