Individual
HERLINE RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SKINNER HILL RD, STROUDSBURG, PA 18360
(845) 641-9412
Mailing address
4178 BLUE MOUNTAIN XING, EAST STROUDSBURG, PA 18301-9333
(845) 641-9412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017091
PA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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