Individual
MS. CARMEL NICHOLE RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4314 W SLAUSON AVE, LOS ANGELES, CA 90043-2808
(323) 293-7171
(310) 348-3716
Mailing address
4314 W SLAUSON AVE, LOS ANGELES, CA 90043-2808
(323) 293-7171
(310) 348-3716
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14798
CA
Other
Enumeration date
10/03/2005
Last updated
06/01/2021
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