Short, Raylene

Short, Raylene is an individual health care provider with primary practice located at 11648 N 151St Ln , Surprise AZ 85379-5316. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Short, Raylene can be contacted via phone (602) 622-6584.

Contact Information

Primary practice address
11648 N 151St Ln Surprise AZ 85379-5316
Phone: (602) 622-6584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1215916374
LBN Legal business name Short, Raylene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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