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Individual

EVA RAPHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2905 TELEGRAPH AVE, BERKELEY, CA 94705-2017
(510) 841-4525
Mailing address
914 POLK ST, ALBANY, CA 94706-1529
(510) 316-1851

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
722857
CA
363L00000X
Nurse Practitioner
Primary
NPF95019156
CA

Other

Enumeration date
07/10/2021
Last updated
12/06/2021
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