Individual
RAFAEL CRAVIOTO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21320 87TH AVE NE, ARLINGTON, WA 98223-5014
(425) 876-4621
Mailing address
21320 87TH AVE NE, ARLINGTON, WA 98223-5014
(425) 876-4621
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC12237
WA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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