Individual
MISS AGNES ANDAL MARAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
19435 68TH AVE S STE S102, KENT, WA 98032-2114
(253) 414-1983
Mailing address
19435 68TH AVE S STE S102, KENT, WA 98032-2114
(253) 414-1983
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61625569
WA
Other
Enumeration date
05/26/2021
Last updated
02/04/2025
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