Individual
KENNETH GITAHI WAHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3232 SW 326TH ST, FEDERAL WAY, WA 98023-2534
(206) 503-5439
Mailing address
3232 SW 326TH ST, FEDERAL WAY, WA 98023-2534
(206) 503-5439
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
WDL29SSJ223B
WA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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