Individual
JOSEPHAT MUTHIGA MUTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33520 21ST AVE SW, FEDERAL WAY, WA 98023-2874
(253) 838-1611
Mailing address
33520 21ST AVE SW, FEDERAL WAY, WA 98023-2874
(253) 838-1611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1939222
MN
163W00000X
Registered Nurse
AP61171294
WA
363LF0000X
Family Nurse Practitioner
5407
MN
363LF0000X
Family Nurse Practitioner
Primary
AP61171292
WA
Other
Enumeration date
09/14/2017
Last updated
12/01/2023
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