KENN RAFANAN

EL SEGUNDO, CA
NPI1003332909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006905)
Enumeration Date2017-08-22
Last Update Date2019-10-24
Business Address
KENN RAFANAN
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245-4749
Phone number: 323-628-8671
Mailing Address
KENN RAFANAN
1723 BONANZA AVE
SIMI VALLEY, CA 93063-5803
Phone number: 1818-730-2452
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