Individual
RACHEL KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 HARVARD RD, SAN MATEO, CA 94402-2219
(650) 343-3040
Mailing address
609 HARVARD RD, SAN MATEO, CA 94402-2219
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0390189
CA
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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