Provider Demographics
NPI:1326435322
Name:CALLENS, RACHEL (NMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CALLENS
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 CONNECTICUT AVE NW STE 6
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5718
Mailing Address - Country:US
Mailing Address - Phone:443-499-2415
Mailing Address - Fax:
Practice Address - Street 1:4601 CONNECTICUT AVE NW STE 6
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5718
Practice Address - Country:US
Practice Address - Phone:443-499-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath