JARNIFUL MUSTAFA ABDUL RAZEK THW000111369
Individual Provider (NPI-1)
Active
Peer Specialist
Provider Information
- NPI Number
1063206217- Provider Type
- Individual Provider (NPI-1)
- Credentials
- THW000111369
- Status
- Active
Contact & Location
- Address
- 3321 W KENNEWICK AVE STE 150, KENNEWICK, WA, 993362968
- Phone
- (872) 985-5026
Specialties & Taxonomies
Peer Specialist
License: OR #111369
Peer Specialist
Primary License: OR #THW000111369
All Addresses
MAILING
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA, 993362968