Healthcare Provider Details

I. General information

NPI: 1841122066
Provider Name (Legal Business Name): JOMENTA HOLISTIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27205 PACIFIC HWY S
FEDERAL WAY WA
98003-2407
US

IV. Provider business mailing address

27205 PACIFIC HWY S
FEDERAL WAY WA
98003-2407
US

V. Phone/Fax

Practice location:
  • Phone: 254-420-6222
  • Fax:
Mailing address:
  • Phone: 254-420-6222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPHINE WANGARI GITAU
Title or Position: OWNER
Credential: RN
Phone: 254-420-6222