Individual
ROBERT GITONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3206 94TH ST S, LAKEWOOD, WA 98499-3553
(253) 253-1110
(253) 240-1184
Mailing address
3206 94TH ST S, LAKEWOOD, WA 98499-3553
(253) 253-1110
(253) 240-1184
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60345046
WA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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