Individual
MRS. RACHEL FAWBUSH HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,DI
Contact information
Practice address
2212 RIVER RD, LONDON, KY 40744-8419
(606) 877-1065
(606) 862-4619
Mailing address
2212 RIVER RD, LONDON, KY 40744-8419
(606) 877-1065
(606) 862-4619
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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