Individual
DIANA J KANGOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
1921 18TH AVE SW, OLYMPIA, WA 98502-4140
(616) 264-4984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1678418
CO
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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