Provider Demographics
NPI:1275883209
Name:MCCREE, RAKENYA LASHAE
Entity Type:Individual
Prefix:MS
First Name:RAKENYA
Middle Name:LASHAE
Last Name:MCCREE
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 1:3660 KEEL AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-2341
Mailing Address - Country:US
Mailing Address - Phone:805-612-5363
Mailing Address - Fax:
Practice Address - Street 1:3660 KEEL AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-2341
Practice Address - Country:US
Practice Address - Phone:805-612-5363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator