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NPI Code Detail

MEDICARE: ANGELA WAIGURU

MEDICARE: ANGELA WAIGURU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374700000XTechnician

General Provider Information

NPI Number : 1801364112
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA WAIGURU
Provider Business Mailing Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 253-833-7444
Fax Number :
Provider Business Practice Location Address
First Line : 1701 18TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4317
Country : US
Telephone Number : 253-833-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 03/29/2019

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Directions to “ ANGELA WAIGURU ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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