Individual
MS. RACHEL LAUREN MASTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
950 HAWTHORNE RD, GROSSE PT WDS, MI 48236-1442
(586) 530-4278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704299944
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704299944
MI
Other
Enumeration date
06/28/2019
Last updated
04/27/2023
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