Provider Demographics
NPI:1982439675
Name:ARAKAWA, RACHEL ANNA
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ANNA
Last Name:ARAKAWA
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 1:1185 LAKE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-5415
Mailing Address - Country:US
Mailing Address - Phone:760-845-4981
Mailing Address - Fax:
Practice Address - Street 1:1185 LAKE RIDGE DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-5415
Practice Address - Country:US
Practice Address - Phone:760-845-4981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-306917163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant