Individual provider · Type 1 NPI
Monde Imbula Coffee
Licensed Practical Nurse · Auburn, WA
NPI number
1063996981
Active
Practice location
505 29th St SE
Auburn, WA 98002-7541
Mailing address
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP60647563 (WA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1063996981
Monde Imbula Coffee's National Provider Identifier is 1063996981, issued on Sep 17, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Auburn, WA. The record was last updated on Sep 17, 2018.