Individual
RAFFY LAJA QUIMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
125 S BLOOMINGTON ST, STE A, LOWELL, AR 72745-9493
(479) 770-5655
(479) 770-5656
Mailing address
305 CRESCENT DR, FORT SMITH, AR 72916-4037
(479) 414-6298
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT1417
AR
Other
Enumeration date
04/14/2011
Last updated
03/10/2014
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