Provider Demographics
NPI:1770366254
Name:RAFANAN, GERMALYN TERANO
Entity type:Individual
Prefix:
First Name:GERMALYN
Middle Name:TERANO
Last Name:RAFANAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8202 PRENTICE HALL DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1749
Mailing Address - Country:US
Mailing Address - Phone:408-406-0365
Mailing Address - Fax:
Practice Address - Street 1:8202 PRENTICE HALL DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1749
Practice Address - Country:US
Practice Address - Phone:408-406-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN288939164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse