Individual
RACHAEL IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9000
Mailing address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010047
VA
Other
Enumeration date
05/20/2024
Last updated
10/03/2024
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