NPI 1063219236

Ray Matias Serafino, RN

Practitioner Adult Care Home Facility Fort Mohave, AZ

Practice location

Address: 1974 E Clear Lake Dr, Fort Mohave, AZ 86426-6742
Phone: (928) 201-5033

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence AL3262H (AZ)

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Registry record

NPI: 1063219236
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2025
Record last updated: 26 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.