Individual
MRS. JEDIDAH WANGOI MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 DALE LN E, FIFE, WA 98424-2305
(206) 319-2945
(253) 517-8476
Mailing address
2909 DALE LN E, FIFE, WA 98424-2305
(206) 319-2945
(253) 517-8476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61644177
WA
376K00000X
Nurse's Aide
Primary
6081956
WA
Other
Enumeration date
01/03/2024
Last updated
02/18/2026
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