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Individual

ERICK MWANIKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13202 B ST E, TACOMA, WA 98445-1446
(302) 252-1831
Mailing address
13202 B ST E, TACOMA, WA 98445-1446
(302) 252-1831

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
757574
WA

Other

Enumeration date
11/15/2024
Last updated
11/15/2024
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