Provider Demographics
NPI:1154179521
Name:BRUMFIELD, RACHAEL S
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:S
Last Name:BRUMFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 FOXTAIL CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-2311
Mailing Address - Country:US
Mailing Address - Phone:916-740-0040
Mailing Address - Fax:
Practice Address - Street 1:6625 FOXTAIL CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95842-2311
Practice Address - Country:US
Practice Address - Phone:916-740-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant