Individual
RAFEENA WAHAB KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1834 WAKE FOREST AVE, CLERMONT, FL 34711-6485
(352) 432-2168
Mailing address
1834 WAKE FOREST AVE, CLERMONT, FL 34711
(352) 432-2168
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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