Individual
MR. RAFAEL MARTIN MORONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17802 87TH AVE E, PUYALLUP, WA 98375
(253) 348-0440
Mailing address
17802 87TH AVE E, PUYALLUP, WA 98375-6244
(253) 348-0440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60440145
WA
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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