IBRA N/A NIANE

FIFE, WA
NPI1104473677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WA  RN60246530)
Enumeration Date2019-08-20
Last Update Date2019-08-20
Business Address
IBRA N/A NIANE
6433 40TH ST E
FIFE, WA 98424-2374
Phone number: 360-440-3586
Mailing Address
IBRA N/A NIANE
6433 40TH ST E
FIFE, WA 98424-2374
Phone number: 360-440-3586
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