Individual
MARTHA WANGUI KIARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5937
(253) 566-2252
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5937
(253) 686-8386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60193445
WA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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