NPI 1477365856

Mica Rae, LLC.

Organisation Primary Care Clinic/Center Delmar, DE

Practice location

Address: 705 E State St, Delmar, DE 19940-1347
Phone: (302) 212-7994
Fax: (866) 635-3408

Authorised official

Name: Mica Goehner
Title: Owner/Operator
Phone: (302) 212-7994

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Delaware →

Registry record

NPI: 1477365856
Entity type: Organization
NPI issued: 23 Jan 2025
Record last updated: 23 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.