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Izien Iruobe Imoukhuede, MD
Student in an Organized Health Care Education/Training Program in Marysville, Washington
NPI 1154056620

Izien Iruobe Imoukhuede is a Student in an Organized Health Care Education/Training Program based in Marysville, WA. Izien Iruobe Imoukhuede practices in Marysville, WA and has the professional credentials of MD. The NPI Number for Izien Iruobe Imoukhuede is 1154056620 and holds a License No. MDRE.ML.61304643 (Washington).

The current practice location address for Izien Iruobe Imoukhuede is 9710 State Ave, Marysville, WA and can be reached out via phone at 360-653-1742.

Location: 9710 State Ave, Marysville, WA, 98270-2232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154056620
Provider Name
Izien Iruobe Imoukhuede
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9710 State Ave, Marysville, WA, 98270-2232
Phone Number
360-653-1742
Fax Number
Provider Enumeration Date
07/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9710 State Ave
City
Marysville
State
Washington
Zip
98270-2232
Phone Number
360-653-1742
Fax Number
person
Provider Business Mailing Address Details
Address
9710 State Ave
City
Marysville
State
Washington
Zip
98270-2232
Phone Number
360-653-1742
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MDRE.ML.61304643 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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