Individual
JOB MWAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6518 187TH AVE E, BONNEY LAKE, WA 98391-8833
(913) 207-9114
Mailing address
6518 187TH AVE E, BONNEY LAKE, WA 98391-8833
(913) 207-9114
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN6063597
WA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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