KOUASSI KAN BOUA LAZARE ASSIE

KIRKLAND, WA
NPI1790460178
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61440338)
Enumeration Date2023-06-21
Last Update Date2024-04-15
Business Address
KOUASSI KAN BOUA LAZARE ASSIE Nurse Practitioner
13806 123RD AVE NE
KIRKLAND, WA 98034-2248
Phone number: 206-384-2222
Mailing Address
KOUASSI KAN BOUA LAZARE ASSIE Nurse Practitioner
1202 BERILLA DR
ENUMCLAW, WA 98022-8426
Phone number: 206-384-2222
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