Provider Demographics
NPI:1366981623
Name:SAEPHANH, LIO C (RN)
Entity type:Individual
Prefix:
First Name:LIO
Middle Name:C
Last Name:SAEPHANH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9516 S 235TH PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3004
Mailing Address - Country:US
Mailing Address - Phone:206-353-9853
Mailing Address - Fax:
Practice Address - Street 1:9516 S 235TH PL
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-3004
Practice Address - Country:US
Practice Address - Phone:206-353-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60000981163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse