Lisa Jo Wabinga, MA60534603
NPI #1316337546 in Kent, Washington
Provider Information
- NPI Number
- 1316337546
- Entity Type
- Individual
- Name
- Lisa Jo Wabinga, MA60534603
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- MA60534603
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 23639 126TH AVE SE
- City
- Kent
- State
- Washington
- ZIP Code
- 98031-3701
- Phone
- (253) 631-3101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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