Individual
MR. BRYAN MUDIMBWA JAHAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
851 POPLAR PL S, SEATTLE, WA 98144-2827
(206) 914-7559
Mailing address
851 POPLAR PL S, SEATTLE, WA 98144-2827
(206) 914-7559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WDL5SBZ7013B
WA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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