Organization
GRACEHAVEN AFH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUKONLA ALABI (MANAGER)
(509) 499-0825
Entity
Organization
Contact information
Practice address
14910 E 16TH AVE, SPOKANE VALLEY, WA 99037-8608
(509) 499-0825
Mailing address
14910 E 16TH AVE, SPOKANE VALLEY, WA 99037-8608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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