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Contact Information

SHASTA S RAEL
1100 W. 21ST
CLOVIS, NM88101
 Phone: 575-742-2620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SHASTA S RAEL · (Female)

NPI Number 1023254091
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2008
Last updated 03/25/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 0118461
  • NM License # 0134861
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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