Healthcare Provider Details

I. General information

NPI: 1861145120
Provider Name (Legal Business Name): F&M HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6824 19TH ST W # 256
UNIVERSITY PLACE WA
98466-5528
US

IV. Provider business mailing address

6824 19TH ST W # 256
UNIVERSITY PLACE WA
98466-5528
US

V. Phone/Fax

Practice location:
  • Phone: 253-777-1423
  • Fax: 253-777-1423
Mailing address:
  • Phone: 253-777-1423
  • Fax: 253-777-1423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MAGGIE SEKERAMAYI
Title or Position: OWNER
Credential: MD
Phone: 253-777-1423