Individual
RACHELL ANN ABAD LUANGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1316 WYCKOFF ST, CHULA VISTA, CA 91913-3519
(228) 596-5004
Mailing address
1316 WYCKOFF ST, CHULA VISTA, CA 91913-3519
(228) 596-5004
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95032036
CA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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