Individual
DR. THOMAS S. RAFFAELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 SAGE AVENUE, MESCALERO, NM 88340-0210
(505) 464-3835
(505) 464-4512
Mailing address
PO BOX 210, MESCALERO, NM 88340-0210
(505) 464-3835
(505) 464-4512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2063
WA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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