Individual
ABRA AFOUTOU TODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(360) 566-9112
(360) 566-9133
Mailing address
16512 NE 27TH WAY, VANCOUVER, WA 98684-9818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201501677LPN
OR
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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