Doctor Name: | MRS. ANGELA C RAFFERTY |
NPI Number: | 1528495991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ILI |
License Number: | |
Business Practice Address: | 528 W Chicago St Apt #13 Coldwater, MI - 490368411 |
Business Phone Number: | 5172798423 |
Business Fax Number: | 5172790664 |
Mailing Address: | 528 W Chicago St, Apt #13 COLDWATER |
State: | MI |
Postal Code: | 490368411 |
Phone Number: | 5172798423 |
Fax Number: | 5172790664 |
NPI Enumeration Date: | 10/01/2013 |
NPI Last Update Date: | 10/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |