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Individual

ANN JACKIELINE WAMBUI WAINAINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6926 5TH CT SE, LACEY, WA 98503-1416
(425) 524-7471
Mailing address
6926 5TH CT SE, LACEY, WA 98503-1416
(425) 524-7471

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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