Individual
MRS. GRACE ELLEN RAHTJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1112 S MAIN ST STE B, BOERNE, TX 78006-2812
(308) 609-9056
(830) 893-0132
Mailing address
919 PRIVATE ROAD 1712, MICO, TX 78056-5571
(785) 370-2777
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
81000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81000
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
09/20/2022
Last updated
09/20/2022
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