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Individual

VLADIMIR RAFANOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
804 HARBOR BLVD, WEST SACRAMENTO, CA 95691-2202
(916) 371-1616
(916) 979-1110
Mailing address
804 HARBOR BLVD, WEST SACRAMENTO, CA 95691-2202
(916) 371-1616
(916) 979-1110

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A56344
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A563440
CA
05
00A563441
CA
Enumeration date
12/02/2005
Last updated
10/22/2014
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