Individual
PATRICIA WACHUKA WAITHAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NAC
Contact information
Practice address
10828 GRAVELLY LAKE DR SW STE 109, LAKEWOOD, WA 98499-1300
(253) 341-9642
Mailing address
PO BOX 39311, LAKEWOOD, WA 98496-3311
(253) 341-9642
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HM60811111
WA
376K00000X
Nurse's Aide
Primary
NC61124566
WA
Other
Enumeration date
06/23/2020
Last updated
05/17/2023
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