Individual
MRS. KELLY MCMILLAN RASKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N, RN, NNP-BC
Contact information
Practice address
1975 4TH ST, INTENSIVE CARE NURSERY- 3RD FLOOR, SAN FRANCISCO, CA 94143-2351
(415) 353-1565
Mailing address
629 47TH AVE, SAN FRANCISCO, CA 94121-2407
(925) 330-1640
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
23090
CA
Other
Enumeration date
07/10/2013
Last updated
12/30/2021
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