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Individual

MRS. LINDA MICHELLE RAKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
312 FAIRY STREET EXT STE 101, MARTINSVILLE, VA 24112-1912
(276) 403-4278
Mailing address
12 BEECHWOOD DR, BASSETT, VA 24055-4143
(276) 252-6463

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024178168
VA
207Q00000X
Family Medicine Physician
5011934
NC

Other

Enumeration date
06/27/2019
Last updated
05/14/2021
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