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Individual

ENAYAT NIAKAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2720 CLARE AVE, SUITE C, BREMERTON, WA 98310-3374
(360) 377-9079
(360) 377-3262
Mailing address
2720 CLARE AVE, SUITE C, BREMERTON, WA 98310-3374
(360) 377-9079
(360) 377-3262

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
25122
WA

Other

Enumeration date
08/17/2006
Last updated
07/08/2007
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