FONABEI AYONGABA

LACEY, WA
NPI1104532944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61475276)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WA  RN61094794)
Enumeration Date2023-01-25
Last Update Date2023-09-06
Business Address
FONABEI AYONGABA
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503-1045
Phone number: 844-949-8888
Mailing Address
FONABEI AYONGABA
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-833-7444