Individual
WANJUGU G WAITHAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10828 GRAVELLY LAKE DR SW STE 109, LAKEWOOD, WA 98499-1300
(253) 433-3908
Mailing address
10828 GRAVELLY LAKE DR SW STE 109, LAKEWOOD, WA 98499-1300
(253) 433-3908
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61060889
WA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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