Individual
MR. RENATO MERCADO RAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN BC
Contact information
Practice address
2280 OPITZ BLVD STE 320, WOODBRIDGE, VA 22191-3362
(703) 878-7610
(703) 878-7614
Mailing address
14701 STONE CREEK CT, CENTREVILLE, VA 20120-2928
(703) 817-9847
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024167480
WY
Other
Enumeration date
10/01/2007
Last updated
04/10/2008
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