Individual
RAFFY JATAMOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 491-9480
Mailing address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 491-9480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60177758
WA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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