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Contact Information

KHADIJAH K BAKARI
3580 PACIFIC AVE
TACOMA, WA98418-7915
 Phone: 253-798-4500
 Fax: 253-798-4493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KHADIJAH K BAKARI · (Female)

NPI # 1396921565
Status Active
Credentials
Entity Individual
Enumeration date 01/17/2008
Last updated 01/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WA License # LP00059431
  • WA License # RC00052844
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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