Individual
HERBERT RAKESTRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 BELFRY HWY, CODY, WY 82414-9524
(307) 586-3725
Mailing address
137 BELFRY HWY, CODY, WY 82414-9524
(307) 586-3725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17166
WY
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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