Individual
KARA RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1691 LAKEWOOD RD, TOMS RIVER, NJ 08755-1245
(732) 914-3875
Mailing address
3 CRESTVIEW CT, FARMINGDALE, NJ 07727-3847
(732) 640-3303
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
26NR19598400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01358800
NJ
Other
Enumeration date
08/22/2022
Last updated
08/25/2022
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