DIBASH KC

SHORELINE, WA
NPI1396589727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: WA  756815)
Enumeration Date2024-06-20
Last Update Date2024-06-20
Business Address
-- DIBASH KC
912 N 196TH CT
SHORELINE, WA 98133-3540
Phone number: 206-612-0661
Mailing Address
-- DIBASH KC
912 N 196TH CT
SHORELINE, WA 98133-3540
Phone number: 206-612-0661
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