Individual
JUSTINE KUUNIFAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
(503) 391-9762
(503) 315-2019
Mailing address
3871 FAIRVIEW INDUSTRIAL DR SE STE 150, SALEM, OR 97302-1172
(503) 391-9762
(503) 315-2019
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201501182LPN
OR
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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