Provider Demographics
NPI:1124866488
Name:GITHEHU, JANE MUKAMI
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:MUKAMI
Last Name:GITHEHU
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 1:195 13TH ST NE UNIT 1004
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-5031
Mailing Address - Country:US
Mailing Address - Phone:678-789-7884
Mailing Address - Fax:
Practice Address - Street 1:195 13TH ST NE UNIT 1004
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-5031
Practice Address - Country:US
Practice Address - Phone:678-789-7884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach