| Mica Rae, Llc. | |
|
705 E State St Delmar DE 19940-1347 | |
| (302) 212-7994 | |
| (866) 635-3408 |
| Full Name | Mica Rae, Llc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 705 E State St, Delmar, Delaware |
| Authorized Official Name and Position | Mica Goehner (OWNER/OPERATOR) |
| Authorized Official Contact | 3022127994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mica Rae, Llc. 705 E State St Delmar DE 19940-1347 Ph: (302) 212-7994 | Mica Rae, Llc. 705 E State St Delmar DE 19940-1347 Ph: (302) 212-7994 |
| NPI Number | 1477365856 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477365856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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