Individual
TERESIAH MUGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S LEGG ST, MEDICAL LAKE, WA 99022-8903
(206) 739-2262
Mailing address
420 S LEGG ST, MEDICAL LAKE, WA 99022-8903
(206) 739-2262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP61330941
WA
311ZA0620X
Adult Care Home Facility
Primary
757800
WA
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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