Individual
KRISTIN JEAN RACOOSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9999 FLYROD DR, PASO ROBLES, CA 93446-7715
(626) 664-4067
Mailing address
9999 FLYROD DR, PASO ROBLES, CA 93446-7715
(626) 664-4067
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
348309
CA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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