KELLY RACKHAM

VISTA, CA
NPI1801497284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95015717)
Enumeration Date2020-11-03
Last Update Date2023-01-27
Business Address
KELLY RACKHAM FNP-C
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 844-308-5003
Mailing Address
KELLY RACKHAM FNP-C
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
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