Individual
RACHAEL HARRIS PROUMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
830 KEMPSVILLE RD FL 1, NORFOLK, VA 23502-3920
(757) 261-8070
(757) 995-7095
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102208023
VA
208M00000X
Hospitalist Physician
0102208023
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
11/22/2023
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