Individual
THOMAS M JINGUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(206) 870-8880
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00033336
WA
2080S0010X
Pediatric Sports Medicine Physician
Primary
MD00033336
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30090
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8197758
—
WA
Enumeration date
10/27/2006
Last updated
02/05/2009
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