Individual
ASGEDOM HAILEKEROSS WOLDETEKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29850 18TH AVE S, FEDERAL WAY, WA 98003-4202
Mailing address
29850 18TH AVE S, FEDERAL WAY, WA 98003-4202
(913) 485-1679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60716086
WA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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