Provider Demographics
NPI:1215569389
Name:LOZA AFH
Entity Type:Organization
Organization Name:LOZA AFH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TSION
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMRAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-981-1629
Mailing Address - Street 1:5108 ALTA DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5108 ALTA DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2413
Practice Address - Country:US
Practice Address - Phone:206-981-1629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty