Individual
SHUKRI MILGO IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2402 SW 317TH ST, FEDERAL WAY, WA 98023-2202
(206) 504-4125
Mailing address
2402 SW 317TH ST, FEDERAL WAY, WA 98023-2202
(206) 504-4125
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
756394
WA
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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