LISA JO WABINGA

KENT, WA
NPI1316337546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: WA  MA60534603)
Enumeration Date2015-01-26
Last Update Date2015-01-26
Business Address
-- LISA JO WABINGA MA60534603
23639 126TH AVE SE
KENT, WA 98031-3701
Phone number: 253-631-3101
Mailing Address
-- LISA JO WABINGA MA60534603
22907 130TH PL SE
KENT, WA 98031-3729
Phone number: 253-355-0337