Individual
JOHN KAGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 23RD ST NW, PUYALLUP, WA 98371-3994
(253) 880-8019
Mailing address
1002 23RD ST NW, PUYALLUP, WA 98371-3994
(253) 880-8019
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
755321
WA
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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