Individual
RAY MATIAS SERAFINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1974 E CLEAR LAKE DR, FORT MOHAVE, AZ 86426-6742
(928) 201-5033
Mailing address
1974 E CLEAR LAKE DR, FORT MOHAVE, AZ 86426-6742
(928) 201-5033
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL3262H
AZ
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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