Individual
JACKSON SIMOSI NYARANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
374U00000X
Home Health Aide
60905751
WA
Other
Enumeration date
10/04/2023
Last updated
10/11/2023
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