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Individual

RACQUEL MCKISSIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2641 BIRNEY PL SE APT 103, WASHINGTON, DC 20020-5909
(202) 246-1344
Mailing address
2641 BIRNEY PL SE #103, WASHINGTON, DC 20020
(202) 246-1344

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4066
DC

Other

Enumeration date
05/02/2013
Last updated
05/02/2013
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