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Rakeeda Commodore
NPI 1366830465 · on the registry since 2014
Practice
- Address
- 1925 Scientists Cliffs Rd
Port Republic, MD 20676 - Phone
- (410) 474-6546
- Organisation at this address
- Bootsie Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Sex
- Female
- Record last updated
- 2024-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland