Individual
SAMMY GATHIRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
6212 75TH ST W, LAKEWOOD, WA 98499-8368
(253) 983-8507
Mailing address
3921 62ND AVE E, FIFE, WA 98424-2377
(253) 250-3189
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60840511
WA
Other
Enumeration date
06/04/2018
Last updated
10/04/2018
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