Individual
GAUDENCIA WANZA MBITHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 75TH ST SW STE 210, EVERETT, WA 98203-6293
(408) 863-1705
Mailing address
1521 E 38TH ST APT 3, TACOMA, WA 98404-3702
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HM60756193
WA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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