Individual
FAJAR FARIMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 695-7637
Mailing address
215 10TH AVE E UNIT 2, SEATTLE, WA 98102-6099
(619) 957-2951
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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