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Individual

DR. JENNIFER MARIE RAFFEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15612 N 32ND ST, STE. #3, PHOENIX, AZ 85032-3859
(602) 251-8052
(602) 251-8068
Mailing address
8021 N 9TH AVE, PHOENIX, AZ 85021-5619
(602) 380-4041

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A87652
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41502
ARIZONA MEDICAL BOARD
AZ
01
A87652
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
12/26/2008
Last updated
01/21/2015
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