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Individual

DR. RITA MARIA MEJIA-BRAECKEVELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
210 N SANDHILL BLVD, MESQUITE, NV 89027-4789
(702) 849-0558
(702) 346-2147
Mailing address
482 BULLDOG DR, MESQUITE, NV 89027-3103

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2522
NV
208M00000X
Hospitalist Physician
OS12604
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010056150
RAILROAD MEDICARE
MI
01
080B610190
BLUE CROSS
MI
05
1743029
MI
01
5772254
AETNA
MI
Enumeration date
08/16/2005
Last updated
01/20/2025
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