Individual
RAFAEL MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3823 STORER AVE, CLEVELAND, OH 44109-1488
(216) 224-9343
Mailing address
3823 STORER AVE, CLEVELAND, OH 44109-1488
(216) 224-9342
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373007
—
OH
Enumeration date
07/07/2022
Last updated
07/07/2022
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