Individual
RAQUEL MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
848 ADAMS AVE STE L201, MEMPHIS, TN 38103-2816
(901) 287-6869
Mailing address
50 N DUNLAP ST RM 367R, MEMPHIS, TN 38103-2800
(901) 287-6869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000177423
TN
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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