Individual
JUSTIN MADUOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3955 156TH ST NE, MARYSVILLE, WA 98271-4831
(360) 548-9623
Mailing address
12433 ADMIRALTY WAY APT P207, EVERETT, WA 98204-7568
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61270788
WA
Other
Enumeration date
02/04/2022
Last updated
11/04/2024
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