Individual
KENDRA NICHOLE RAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W 2ND ST, WELLSTON, OH 45692-1435
(740) 384-2174
(740) 384-1685
Mailing address
844 RIDGELAND RD, JACKSON, OH 45640-8604
(740) 577-8295
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
400101070552062
OH
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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