Individual
FARZANEH VAHDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 SW 136TH STREET, BURIEN, WA 98168
(206) 226-7302
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 226-7302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
WA
Enumeration date
12/17/2018
Last updated
12/17/2018
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