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Individual
RACINE FIELDS
Active
Individual
RACINE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9533277
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN115553
LA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN115553
LA
171400000X
Health & Wellness Coach
Primary
RN115553
LA
Other
Enumeration date
01/26/2023
Last updated
07/25/2024
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