Individual
JENNIFER N MBUGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
(425) 493-2964
Mailing address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
(425) 493-2964
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60267935
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911180810
—
WA
Enumeration date
05/09/2019
Last updated
05/09/2019
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