Individual
DESRESS RAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 EST 2ND ST, RUSSELL, KS 67665
(785) 639-3927
Mailing address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110377755
—
KS
Enumeration date
10/28/2022
Last updated
10/28/2022
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