Dergham, Katia Rose
Dergham, Katia Rose is an individual health care provider with primary practice located at 4033 Talbot Rd S Ste 470 , Renton WA 98055-5700. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Dergham, Katia Rose can be contacted via phone (425) 690-3677.Contact Information
Primary practice address
4033 Talbot Rd S Ste 470
Renton WA 98055-5700
Phone: (425) 690-3677
Fax: (425) 690-9677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X | GT61166257 | Washington |
| Other Service Providers / Genetic Counselor, MS | 170300000X |
Profile Details
| NPI number | 1356932214 |
|---|---|
| LBN Legal business name | Dergham, Katia Rose |
| Credentials | CGC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2021 |
| Last updated | Jun 17th, 2021 - about 5 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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