Individual
JEANETTE NICOLE RAKESTRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 MALVERN AVE, DAYTON, OH 45406-2924
(937) 818-3508
Mailing address
2125 MALVERN AVE, DAYTON, OH 45406-2924
(937) 818-3508
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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