Individual
RAQUEL M. MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12560 PALM DR, DESERT HOT SPRINGS, CA 92240-4559
(760) 251-3401
(760) 251-9592
Mailing address
255 N EL CIELO RD, SUITE # 604, PALM SPRINGS, CA 92262-6974
(760) 251-3401
(760) 251-9592
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13326
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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