Individual
MRS. RACHELLE HUEMOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 793-2535
(408) 885-3552
Mailing address
3225 MCLEOD DR STE 777, LAS VEGAS, NV 89121-2257
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
574263
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95003880
CA
Other
Enumeration date
05/05/2016
Last updated
01/10/2024
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