Individual
DR. AXLE MARIA RAFAELLE DIMAYUGA UNTALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5125 SKYWAY, PARADISE, CA 95969-5624
(530) 872-2000
(530) 332-1049
Mailing address
5125 SKYWAY, PARADISE, CA 95969-5624
(530) 872-2000
(530) 332-1049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A200859
CA
Other
Enumeration date
06/28/2022
Last updated
06/27/2025
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