Individual
GARY MWANGI WAHOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3725 PROVIDENCE POINT DR SE, ISSAQUAH, WA 98029-7219
(425) 391-2800
Mailing address
PO BOX 1904, AUBURN, WA 98071-1904
(206) 775-0819
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
WA
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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