Individual
RAQUEL YASMIN ACEVEDO MUJICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 W FALL RD, OLEAN, NY 14760-1124
(929) 280-1804
Mailing address
1801 W FALL RD, OLEAN, NY 14760-1124
(929) 280-1804
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
797713
NY
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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