Individual
MR. RAPHAEL PAUL FRATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., M.S.AC.
Contact information
Practice address
7764 JADE CT, BOULDER, CO 80303-3225
(303) 819-6401
Mailing address
7764 JADE CT, BOULDER, CO 80303-3225
(303) 819-6401
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0002283
CO
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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