Provider Demographics
NPI:1972379717
Name:KURUGA, VERONICA WANGARI
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:WANGARI
Last Name:KURUGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 17TH ST SE APT 223
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-6362
Mailing Address - Country:US
Mailing Address - Phone:253-670-3368
Mailing Address - Fax:
Practice Address - Street 1:1420 17TH ST SE APT 223
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-6362
Practice Address - Country:US
Practice Address - Phone:253-670-3368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide