Individual
JUSTUS MAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 S TACOMA WAY, TACOMA, WA 98409-4312
(206) 460-2763
(253) 301-1009
Mailing address
5401 S TACOMA WAY, TACOMA, WA 98409-4312
(206) 460-2763
(253) 301-1009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61188001
WA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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