Individual
CAESAR MBURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4607 SW 327TH ST, FEDERAL WAY, WA 98023-1901
(816) 419-8150
Mailing address
4607 SW 327TH ST, FEDERAL WAY, WA 98023-1901
(816) 419-8150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60916524
WA
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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