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Contact Information

RAE F PACKARD
58967 BUSINESS CENTER DRIVE,
#H
YUCCA VALLEY, CA92284
 Phone: 760-228-9657
 Fax: 760-369-6758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for RAE F PACKARD · (Female)

NPI # 1275670960
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2007
Last updated 10/22/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers Not Available
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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