Individual
RACHEL DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(760) 719-3364
(760) 725-1101
Mailing address
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 719-3364
(760) 725-1101
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
87762
GA
207Q00000X
Family Medicine Physician
0
NC
208D00000X
General Practice Physician
Primary
87762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87762
GEORGIA COMPOSITE MEDICAL BOARD
GA
01
—
NA
NA
—
Enumeration date
03/21/2019
Last updated
08/09/2024
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