Individual
ABEBANESH TADESSE HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15502 26TH PL W, LYNNWOOD, WA 98087
(425) 737-3678
(425) 582-2268
Mailing address
15502 26TH PL W, LYNNWOOD, WA 98087
(425) 737-3678
(425) 582-2268
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
753688
WA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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