Individual
WANGARI GATHUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61443470
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
61443891
WA
Other
Enumeration date
10/03/2017
Last updated
10/17/2023
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