LAKEW ADNEW

DES MOINES, WA
NPI1710389846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60480672)
Enumeration Date2014-09-19
Last Update Date2019-04-11
Business Address
LAKEW ADNEW
22634 10TH AVE S
DES MOINES, WA 98198-6915
Phone number: 206-235-8112
Mailing Address
LAKEW ADNEW
22634 10TH AVE S
DES MOINES, WA 98198-6915
Phone number: 206-235-8112