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Individual

SELEMANI E WAMBUZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
601 GOVERNMENT RD, MATTAWA, WA 99349-5120
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ML70088355
WA
363AM0700X
Medical Physician Assistant
Primary
PA61127469
WA

Other

Enumeration date
09/16/2019
Last updated
04/08/2026
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