Individual
RACHEL R DUNN-BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 BRUCE STREET, SUITE 700, YREKA, CA 96097
(530) 842-3261
(530) 842-7899
Mailing address
106 RANCH LANE, SUITE B, YREKA, CA 96097
(530) 842-3261
(530) 842-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A60372
CA
208D00000X
General Practice Physician
Primary
A60372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080090464
RAILROAD MEDICARE NUMBER
—
Enumeration date
06/13/2005
Last updated
08/16/2011
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