SearchWashingtonIndependent Duty Corpsman

Epafara Vaitautolu

NPI 1598027237 · on the registry since 2012

Practice

Address
30 Wencker Way Apt A
Bremerton, WA 98312
Phone
(360) 434-1434

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington