BONTU GUDETA KENTIBA

LACEY, WA
NPI1902640105
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: WA  AP70057059)
Enumeration Date2024-06-21
Last Update Date2025-10-19
Business Address
BONTU GUDETA KENTIBA ARNP
605 WOODLAND SQUARE LOOP SE
LACEY, WA 98503-1045
Phone number: 360-764-8000
Mailing Address
BONTU GUDETA KENTIBA ARNP
4410 GALLAGHER WAY NW
OLYMPIA, WA 98502-9005
Phone number: