Provider Demographics
NPI:1861216095
Name:MUSTAFAZADA, ZARINA III (CERIFY DOULA)
Entity type:Individual
Prefix:
First Name:ZARINA
Middle Name:
Last Name:MUSTAFAZADA
Suffix:III
Gender:F
Credentials:CERIFY DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26008 27TH PL S APT L302
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-6965
Mailing Address - Country:US
Mailing Address - Phone:253-221-8167
Mailing Address - Fax:
Practice Address - Street 1:15203 8TH AVE S
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98148-1114
Practice Address - Country:US
Practice Address - Phone:206-679-0782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty