Individual
SAMYCA RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034-3234
(267) 513-1995
(267) 513-1729
Mailing address
500 OFFICE CENTER DRIVE, SUITE 400, FORT WASHINGTON, PA 19034-3234
(267) 513-1995
(267) 513-1729
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN311579
PA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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