Individual
JEAN NANGILA SIMEKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14810 NE 15TH PL, BELLEVUE, WA 98007-4283
(425) 785-5147
Mailing address
14810 NE 15TH PL, BELLEVUE, WA 98007-4283
(425) 785-5147
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
751665
WA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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