Individual
RAFAELITA C PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
318 ABALONE LOOP, MESCARELO, NM 88340
(505) 464-4441
(505) 464-4755
Mailing address
318 ABALONE LOOP, MESCARELO, NM 88340
(505) 464-4441
(505) 464-4755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L03426
NM
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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