Provider Demographics
NPI:1053128645
Name:NJOKU, LAETITIA EKWY
Entity type:Individual
Prefix:
First Name:LAETITIA
Middle Name:EKWY
Last Name:NJOKU
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 1:2521 165TH ST E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-4524
Mailing Address - Country:US
Mailing Address - Phone:206-250-4515
Mailing Address - Fax:253-204-2141
Practice Address - Street 1:2521 165TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-4524
Practice Address - Country:US
Practice Address - Phone:206-250-4515
Practice Address - Fax:253-204-2141
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60205892163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse