Individual
DARLENE M RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
81 HIGHLAND SPRINGS AVENUE, SUITE 200, BEAUMONT, CA 92223
(951) 845-0313
(909) 796-4158
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A55358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A553580
—
CA
Enumeration date
05/26/2006
Last updated
04/23/2020
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