Wabinga, Lisa Jo

Wabinga, Lisa Jo is an sole proprietor health care provider with primary practice located at 23639 126Th Ave Se , Kent WA 98031-3701. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Wabinga, Lisa Jo can be contacted via phone (253) 631-3101.

Contact Information

Primary practice address
23639 126Th Ave Se Kent WA 98031-3701
Phone: (253) 631-3101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X MA60534603 Washington

Profile Details

NPI number 1316337546
LBN Legal business name Wabinga, Lisa Jo
Credentials MA60534603
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2015
Last updated Jan 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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