Individual
KAZI SHAFAYETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 W 13TH ST APT 5, WAYNE, NE 68787-1059
(531) 519-5143
Mailing address
204 W 13TH ST APT 5, WAYNE, NE 68787-1059
(531) 519-5143
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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