Individual
JOHN KIMEMIA KANGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9826 WASHINGTON BLVD SW, TACOMA, WA 98498-1262
(913) 749-6586
Mailing address
9826 WASHINGTON BLVD SW, TACOMA, WA 98498-1262
(913) 749-6586
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61094903
WA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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