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Racquel Logan, MT
NPI 1700198785 · on the registry since 2010
Practice
- Address
- 653 E Campbell Ave Ste 5
Campbell, CA 95008 - Phone
- (408) 313-6909
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-07-08
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 California