Individual
EVANSON GITHINJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 S 88TH ST, TACOMA, WA 98444-4447
(215) 391-8896
Mailing address
1041 S 88TH ST, TACOMA, WA 98444-4447
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61217048
WA
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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