NPI 1093690257

Mannix Kalala Kabangu, SAC

Practitioner Surgical Assistant Puyallup, WA

Practice location

Address: 16816 116th Avenue CT E, Puyallup, WA 98374-9119
Phone: (206) 510-7233

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 25-131

Other Specialist/Technologist, Other providers in Washington →

Registry record

NPI: 1093690257
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2025
Record last updated: 7 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.