Individual
PURITY KIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18240 97TH AVENUE CT E, PUYALLUP, WA 98375-6315
(302) 897-7787
Mailing address
18240 97TH AVENUE CT E, PUYALLUP, WA 98375-6315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0056239
DE
163W00000X
Registered Nurse
Primary
RN61233872
WA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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