Individual
KATHERINE RAICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 FAIRFAX AVE APT B, NORFOLK, VA 23507-2073
(571) 331-0935
Mailing address
610 FAIRFAX AVE APT B, NORFOLK, VA 23507-2073
(571) 331-0935
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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