Provider Demographics
NPI:1548006463
Name:THUO, RUTH WANJIKU (CNA)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:WANJIKU
Last Name:THUO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:WANJIKU
Other - Last Name:GITAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:909 S 336TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7394
Mailing Address - Country:US
Mailing Address - Phone:253-661-5166
Mailing Address - Fax:
Practice Address - Street 1:909 S 336TH ST STE 100
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7394
Practice Address - Country:US
Practice Address - Phone:253-661-5166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60174347251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health