Provider Demographics
NPI:1710393921
Name:DARBOE, BAKARY
Entity Type:Individual
Prefix:MR
First Name:BAKARY
Middle Name:
Last Name:DARBOE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17615 66TH PL W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-7113
Mailing Address - Country:US
Mailing Address - Phone:206-434-2632
Mailing Address - Fax:425-582-7737
Practice Address - Street 1:17615 66TH PL W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-7113
Practice Address - Country:US
Practice Address - Phone:206-434-2632
Practice Address - Fax:425-582-7737
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00058072164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse