Provider Demographics
NPI:1508371857
Name:KABIRO-TITO, WANJIKU MARGARET (RN)
Entity Type:Individual
Prefix:
First Name:WANJIKU
Middle Name:MARGARET
Last Name:KABIRO-TITO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 POPPY HILLS LN
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-8702
Mailing Address - Country:US
Mailing Address - Phone:206-778-8805
Mailing Address - Fax:
Practice Address - Street 1:1425 POPPY HILLS LN
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95377-8702
Practice Address - Country:US
Practice Address - Phone:206-778-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95040524163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse