Male or Other

Epafara J. Vaitautolu

Independent Duty Corpsman in Bremerton, WA(View on Map)

Full Name

Epafara Jeffrey Vaitautolu

NPI Number

1598027237

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/08/2012

Specialties

(Taxonomies)

Code

1710I1002X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

USS NIMITZ
30 WENCKER WAY APT A

City

Fpo
Bremerton

State

AP
WA

Postal Code

96620-2820
98312-1861

Country

US
US

Telephone Number

(360) 434-1434
(360) 434-1434

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/08/2012

Provider Address

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