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NPI Code Detail

MEDICARE: MANEEJA RAFIQ

MEDICARE: MANEEJA RAFIQ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1215047170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANEEJA RAFIQ
Provider Business Mailing Address
First Line : 6833 STOCKTON BLVD STE 485
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2376
Country : US
Telephone Number : 916-394-0800
Fax Number : 916-394-0800
Provider Business Practice Location Address
First Line : 6833 STOCKTON BLVD STE 485
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-2376
Country : US
Telephone Number : 916-394-0800
Fax Number : 916-394-0800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/30/2012

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Directions to “ MANEEJA RAFIQ ” Practice Location

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