Individual
GRACE N GITHINJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14719 103RD AVE E, PUYALLUP, WA 98374-3702
(314) 269-7499
Mailing address
14719 103RD AVE E, PUYALLUP, WA 98374-3702
(314) 269-7499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60809542
WA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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