Individual
RACHAEL MADISON IAQUINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10498 CARMER RD, FENTON, MI 48430-2410
(248) 202-9061
Mailing address
10498 CARMER RD, FENTON, MI 48430-2410
(248) 202-9061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006469
MI
Other
Enumeration date
08/26/2019
Last updated
08/24/2023
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