Individual
MR. RAFAEL J NOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA/LPN
Contact information
Practice address
3470 OLNEY LAYTONSVILLE RD, SUITE 182, OLNEY, MD 20832-1734
(301) 363-4934
Mailing address
3470 OLNEY LAYTONSVILLE RD, SUITE 182, OLNEY, MD 20832-1734
(972) 363-8198
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP49426
MD
246ZC0007X
Surgical Assistant
3077
MD
Other
Enumeration date
07/16/2007
Last updated
02/25/2022
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