| Rasnow Integrative Wellness Inc | |
|
1102 Corporate Way St 170 Sacramento CA 95831 | |
| (916) 623-4594 | |
| Not Available |
| Full Name | Rasnow Integrative Wellness Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 Corporate Way, Sacramento, California |
| Authorized Official Name and Position | Marina Rasnow-hill (OWNER) |
| Authorized Official Contact | 9167151119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rasnow Integrative Wellness Inc 10420 Danichris Way Elk Grove CA 95757 Ph: (916) 715-1119 | Rasnow Integrative Wellness Inc 1102 Corporate Way St 170 Sacramento CA 95831 Ph: (916) 623-4594 |
| NPI Number | 1801438015 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 6800222894 |
|---|---|
| Medicare Enrollment ID | O20200211002332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801438015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Marina E Rasnow-hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427209196 PECOS PAC ID: 0042403875 Enrollment ID: I20120112000677 |
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