Individual
VICTORIA GLADDEN RAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
73-5618 MAIAU ST STE A204, KAILUA KONA, HI 96740-2634
(808) 329-1146
(808) 329-1120
Mailing address
PO BOX 13834, TALLAHASSEE, FL 32317-3834
(850) 205-6232
(855) 975-0615
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9118307
FL
Other
Enumeration date
12/26/2023
Last updated
10/14/2024
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