EMMERLL RACKLEY

KINGMAN, AZ
NPI1538346994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ  AP3654)
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MD  R184121)
Enumeration Date2008-01-29
Last Update Date2011-06-02
Business Address
EMMERLL RACKLEY NP
1741 SYCAMORE AVE 3508 WESTERN AVE
KINGMAN, AZ 86409-0927
Phone number: 928-757-8111
Mailing Address
EMMERLL RACKLEY NP
3505 WESTERN AVE
KINGMAN, AZ 86409-3011
Phone number: 928-757-8111
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