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General NPI Number Information
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NPI Number | 1912850736
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Entity Type | Organization
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Legal Business Name | JOMENTA HOLISTIC CARE LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 27205 PACIFIC HWY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-2407
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Country | US
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Telephone | 254-420-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 27205 PACIFIC HWY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-2407
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Country | US
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Telephone | 254-420-6222
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | JOSEPHINE GITAU
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Credential |
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Telephone | 254-420-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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