Individual
PAULINE MUMBUA MINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11410 NE 122ND WAY, KIRKLAND, WA 98034-6945
(425) 650-4005
Mailing address
17814 110TH PL SE, RENTON, WA 98055-6560
(206) 458-4069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60350587
WA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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