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Individual

JAMES NDUNGU NDUATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10549 190TH ST E, PUYALLUP, WA 98374-9779
(206) 816-4661
Mailing address
10549 190TH ST E, PUYALLUP, WA 98374-9779
(206) 816-4661

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
756862
WA

Other

Enumeration date
05/13/2024
Last updated
05/13/2024
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