Individual
ANNASTASIA NDUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5902 PACIFIC AVE, TACOMA, WA 98408-7524
(253) 212-0294
Mailing address
5902 PACIFIC AVE, TACOMA, WA 98408-7524
(253) 212-0294
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
758528
WA
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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