Individual
MRS. CARRIE ELIZABETH RAKESTRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
85 MAIN ST., SAN ANDREAS, CA 95249
(209) 753-8149
Mailing address
PO BOX 1308, SAN ANDREAS, CA 95249-1308
(120) 975-3814
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
475281
CA
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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