Individual
JESSICA RACHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 721-8354
(605) 721-8458
Mailing address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 721-8354
(605) 721-8458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0635
SD
Other
Enumeration date
02/01/2007
Last updated
06/09/2009
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