KUFA DEKAMO

PORTLAND, OR
NPI1629565981
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201802274LPN)
Enumeration Date2018-04-21
Last Update Date2018-04-21
Business Address
KUFA DEKAMO
3708 SE 144TH AVE
PORTLAND, OR 97236-2731
Phone number: 571-315-7771
Mailing Address
KUFA DEKAMO
3708 SE 144TH AVE
PORTLAND, OR 97236-2731
Phone number: 571-315-7771