Individual
SHARONA RAFAILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 W HELENA DR, PHOENIX, AZ 85023-6531
(646) 209-5680
Mailing address
404 W HELENA DR, PHOENIX, AZ 85023-6531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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