JAVANTAE BASS

SEATTLE, WA
NPI1629844253
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: WA  NA61393862)
Enumeration Date2023-11-27
Last Update Date2023-11-27
Business Address
JAVANTAE BASS
1105 SW HENDERSON ST
SEATTLE, WA 98106-2580
Phone number: 346-300-8332
Mailing Address
JAVANTAE BASS
1105 SW HENDERSON ST
SEATTLE, WA 98106-2580
Phone number: 346-300-8332
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