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Organization
RAFAELIAN PSYCHIATRY LLC
Active
Organization
RAFAELIAN PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA RAFAELIAN MD (OWNER)
(239) 851-8147
Entity
Organization
Contact information
Practice address
1803 W MARCH LN STE D, STOCKTON, CA 95207-6414
(678) 690-7184
Mailing address
5940 WESTPORT LN, NAPLES, FL 34116-5418
(239) 851-8147
(727) 954-6456
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
04/11/2022
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