Individual
MAI NITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17700 SE 272ND ST # 440, COVINGTON, WA 98042-4951
(253) 372-7155
Mailing address
P.O. BOX 5299, MS: 1313-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60850526
WA
Other
Enumeration date
04/29/2015
Last updated
07/06/2022
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