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Individual

JOHN GIKUNGU MUTHIGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
873 S STEMMONS FWY STE 100, LEWISVILLE, TX 75067-5351
(713) 516-3849
Mailing address
2637 HAMLET GREEN DR, RALEIGH, NC 27614-8076
(919) 637-0325

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
226171
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1115893
TX

Other

Enumeration date
05/17/2022
Last updated
11/29/2023
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