| Bontu Gudeta Kentiba, RN | |
|
605 Woodland Square Loop Se, Lacey, WA 98503-1045 | |
| (360) 764-8000 | |
| Not Available |
| Full Name | Bontu Gudeta Kentiba |
|---|---|
| Gender | |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 605 Woodland Square Loop Se, Lacey, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902640105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN60796707 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bontu Gudeta Kentiba, RN 4410 Gallagher Way Nw, Olympia, WA 98502-9005 Ph: () - | Bontu Gudeta Kentiba, RN 605 Woodland Square Loop Se, Lacey, WA 98503-1045 Ph: (360) 764-8000 |
Lanice Sampson-hall, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Nicole J Hughes, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Dianna Zander, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 350 River Ridge Dr Se, Lacey, WA 98513 Phone: 360-412-4830 Fax: 360-412-4839 | |
Renee Cheree Claybon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8202 Walthew Ct Se, Lacey, WA 98503 Phone: 360-628-6332 | |
Fonabei Ayongaba, Registered Nurse Medicare: Medicare Enrolled Practice Location: 605 Woodland Square Loop Se, Lacey, WA 98503 Phone: 844-949-8888 | |
Jody Rudrud Grandorff, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Millenda Thomas, LMP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1233 Firpark Dr. S.e., Lacey, WA 98503 Phone: 360-701-0364 |