Individual
RAEGAN ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5471 SCIOTO DARBY RD, HILLIARD, OH 43026-1310
(937) 536-5937
Mailing address
39 PARKVIEW AVE, COMMERCIAL PT, OH 43116-9736
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
515448
OH
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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