Provider Demographics
NPI:1801469606
Name:MUKANGU, ZIPPORAH WANJA (R-AAC, CPC)
Entity type:Individual
Prefix:
First Name:ZIPPORAH
Middle Name:WANJA
Last Name:MUKANGU
Suffix:
Gender:F
Credentials:R-AAC, CPC
Other - Prefix:
Other - First Name:ZIPPORAH
Other - Middle Name:WANJA
Other - Last Name:STRIBLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:R-AAC, CPC
Mailing Address - Street 1:PO BOX 2394
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-8455
Mailing Address - Country:US
Mailing Address - Phone:360-200-5419
Mailing Address - Fax:844-612-6673
Practice Address - Street 1:1126 S GOLD ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-3714
Practice Address - Country:US
Practice Address - Phone:360-807-4929
Practice Address - Fax:844-612-6673
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61204831175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist