Individual
MR. JOHN CHIIRA GICHOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Mailing address
2108 S 90TH ST, APT O-352, TACOMA, WA 98444-1816
(253) 224-4944
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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