Provider Demographics
NPI:1124916093
Name:MWICIGI, GEORGE NJUGUNA (PROVIDER)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:NJUGUNA
Last Name:MWICIGI
Suffix:
Gender:M
Credentials:PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 E N ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-2727
Mailing Address - Country:US
Mailing Address - Phone:206-833-9146
Mailing Address - Fax:
Practice Address - Street 1:5220 E N ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-2727
Practice Address - Country:US
Practice Address - Phone:206-833-9146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA758227311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home