Individual
MYRIAM BOKAKO BAKONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2824 176TH ST NE, MARYSVILLE, WA 98271-4781
(325) 407-3839
Mailing address
2824 176TH ST NE, MARYSVILLE, WA 98271-4781
(325) 407-3839
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
WDL52P20843B
WA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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