Individual
JARNIFUL MUSTAFA ABDUL RAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
THW000111369
Contact information
Practice address
3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 99336-2968
(872) 985-5026
Mailing address
3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 99336-2968
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
111369
OR
175T00000X
Peer Specialist
Primary
THW000111369
OR
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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