Provider Information for 1205350386
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RAEISHA LYNN HUNTER
Sex: Female
NPI: 1205350386
Last Updated: 2021-08-20
Certification Date: 2021-08-20
Certification Date: 2021-08-20
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1205350386 | ||||||||||||||||||||
| Enumeration Date | 2017-07-31 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | PO BOX 1000 BAKERSFIELD, CA 93302-1000 United States Phone: 661-868-5150 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 5121 STOCKDALE HWY # 150A BAKERSFIELD, CA 93309-2656 United States Phone: 661-868-5150 | Fax: | ||||||||||||||||||||
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