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Individual

ELIZABETH MUNGAI-IVORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
505 WASHINGTON AVE S, KENT, WA 98032-5709
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.RN.61339739
WA
164W00000X
Licensed Practical Nurse
Primary
LP61112802
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2215181
WA
Enumeration date
08/11/2022
Last updated
08/13/2026
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