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Individual

MRS. MIA RAAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN, PHN

Contact information

Practice address
3501 SPRUCE AVE, SOUTH LAKE TAHOE, CA 96150-2318
(530) 543-2337
(530) 543-2342
Mailing address
3501 SPRUCE AVE, SOUTH LAKE TAHOE, CA 96150-2318
(530) 543-2337
(530) 543-2342

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
723456
CA

Other

Enumeration date
12/03/2024
Last updated
12/03/2024
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