Individual
MR. VAFA TALEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
33611 NE 60TH AVE, LA CENTER, WA 98629-2723
(503) 810-3368
Mailing address
33611 NE 60TH AVE, LA CENTER, WA 98629-2723
(503) 810-3368
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
099000646RN RN
OR
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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