Individual
JACQUELINE NGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5120 84TH AVE W, UNIVERSITY PLACE, WA 98467-1826
(978) 677-4931
Mailing address
5120 84TH AVE W, UNIVERSITY PLACE, WA 98467-1826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61155677
WA
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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