Individual
DR. LARISSA LOUISE RAFFETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
5212 3RD AVE, KEARNEY, NE 68845
(308) 236-0022
Mailing address
5212 3RD AVE, KEARNEY, NE 68845
(308) 236-8547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14262
NE
Other
Enumeration date
11/12/2013
Last updated
03/20/2022
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