Individual
DEVONNA RAPHAELITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCHW II
Contact information
Practice address
9521 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87113-2237
(505) 554-0614
Mailing address
9521 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87113-2237
(505) 554-0614
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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