Individual
AYUB MWAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4007 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4330
(425) 640-7009
(206) 594-6141
Mailing address
PO BOX 65512, TACOMA, WA 98464-1512
(919) 810-4436
(206) 594-6141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61210102
WA
Other
Enumeration date
09/17/2021
Last updated
05/08/2023
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