Individual
EPAFARA JEFFREY VAITAUTOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 WENCKER WAY APT A, BREMERTON, WA 98312-1861
(360) 434-1434
Mailing address
USS NIMITZ, CVN -68, FPO, AP 96620-2820
(360) 434-1434
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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