NPI 1356716682

Raquel Long

Practitioner Adult Care Home Facility Dallas, TX

Practice location

Address: 210 W Pembroke Ave, Dallas, TX 75208-6727
Phone: (469) 844-8424

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1356716682
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2015
Record last updated: 11 Dec 2015

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.