MS. Raylene Short

NPI #1215916374 in Surprise, Arizona

Provider Information

NPI Number: 1215916374
Entity Type: Individual
Name: MS. Raylene Short
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Enumeration Date: Jan 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11648 N 151ST LN
City: Surprise
State: Arizona
ZIP Code: 85379-5316
Phone: (602) 622-6584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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