Individual
JAMES RAFANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED CARE AIDE
Contact information
Practice address
7901 NE 158TH PL, VANCOUVER, WA 98682
(360) 334-0721
Mailing address
1820 NE 88TH CIR, VANCOUVER, WA 98665
(360) 334-0721
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
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