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Individual

MARY NJOGU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6334 LITTLEROCK RD SW, TUMWATER, WA 98512-7332
(360) 704-7590
Mailing address
6334 LITTLEROCK RD SW, TUMWATER, WA 98512-7332

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61402353
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
01/27/2023
Last updated
06/21/2023
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