Individual
SAMUEL MUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7200
Mailing address
11536 129TH ST E, PUYALLUP, WA 98374-3145
(206) 617-2621
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60044386
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61393845
WA
Other
Enumeration date
10/23/2019
Last updated
02/25/2024
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