NPI 1316337546

Lisa Jo Wabinga, MA

Practitioner Community Health Worker Kent, WA

Practice location

Address: 23639 126th Ave SE, Kent, WA 98031-3701
Phone: (253) 631-3101
Mailing address: 22907 130th Pl SE, Kent, WA 98031-3729

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence MA60534603 (WA)

Other Community Health Worker providers in Washington →

Registry record

NPI: 1316337546
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2015
Record last updated: 26 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.