Individual
MRS. FLORA CEONA RAFAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 QUARRY LAKE DRIVE, BALTIMORE, MD 21209-0000
(410) 486-4966
(410) 486-0447
Mailing address
2830 QUARRY HEIGHTS WAY, BALTIMORE, MD 21209-1060
(410) 602-8385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15874
MD
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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