Individual
JAMES RAFANAN
Active
Individual
JAMES RAFANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED CARE AIDE
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HM61123751
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165459-01
—
WA
01
—
HM61123751
WASHINGTON STATE DOH
WA
Enumeration date
06/26/2023
Last updated
06/26/2023
Update your record
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