Individual
MS. RACHELLE DANA EDDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12880 THREE MAN TRL, FLAGSTAFF, AZ 86004-3004
(928) 707-0878
Mailing address
12880 THREE MAN TRL, FLAGSTAFF, AZ 86004-3004
(928) 707-0878
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6867
AZ
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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