Most Relevant Information
Provider Data
| NPI Number: | 1003403858 |
| Provider Name: | EDWARD NGUGI GITHU RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 61092809 |
Most Important Dates
| Enumeration Date: | 12/28/2020 |
| Last Updated: | 12/28/2020 |
Provider Practice Location
18402 98TH AVE E
PUYALLUP
WA
983754005
Practice Location Phone/Fax
| Phone: | 7742531363 |
| Fax: |
Provider Mailing Location
18402 98TH AVE E
PUYALLUP
WA
983754005
Provider Mailing Phone/Fax
| Phone: | 7742531363 |
| Fax: |