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Individual

ISAAC NGUGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
505 29TH ST SE, AUBURN, WA 98002-7541
(253) 876-7650
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60527190
WA

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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