Individual
IRENE MUTUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4903 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 589-6484
(253) 984-1079
Mailing address
11033 191ST STREET CT E, PUYALLUP, WA 98374-6522
(314) 629-9062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP61667413
WA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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