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Individual

JESSEE GITHUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11610 CLOVERDALE CT SW, LAKEWOOD, WA 98499-1263
(253) 267-1746
Mailing address
11610 CLOVERDALE CT SW, LAKEWOOD, WA 98499-1263

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
757390
WA

Other

Enumeration date
12/12/2024
Last updated
12/12/2024
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