MEDICARE: DANIEL ANYIMAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1942441571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL ANYIMAH

Provider Business Mailing Address
First Line	:	19604 BING ROAD
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036
Country	:	US
Telephone Number	:	425-771-4517
Fax Number	:

Provider Business Practice Location Address
First Line	:	19604 BING ROAD
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036
Country	:	US
Telephone Number	:	425-771-4517
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DANIEL ANYIMAH
Credential	:
Telephone Number	:	425-771-4517

Provider Enumeration Date	:	03/11/2009
Last Update Date	:	03/25/2009

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