NPI | 1780091298 |
---|---|
Former Name | RACHEL MARIE HADACHEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 551) |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-07-16 |