Individual
ALEXIS RAKOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS-OMS
Contact information
Practice address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 SOUTH EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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