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Individual
RAFAEL CENTENO
Active
Individual
RAFAEL CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95026957
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/31/2015
Last updated
01/09/2024
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