Individual
KATHLEEN M RAIFE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6553 E BAYWOOD AVE, MESA, AZ 85206-1752
(480) 981-4388
(480) 981-4198
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP1772
AZ
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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