Lady-Diaesha Latiesh Middleton-Benjamin, LPN
NPI #1679819437 in Kenmore, Washington
Provider Information
- NPI Number
- 1679819437
- Entity Type
- Individual
- Name
- Lady-Diaesha Latiesh Middleton-Benjamin, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 26, 2012
- Last Updated
- Dec 26, 2012
Practice Location
- Address
- 7214 NE 155TH ST
- City
- Kenmore
- State
- Washington
- ZIP Code
- 98028-4637
- Phone
- (206) 617-4492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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