Provider Demographics
NPI:1386184141
Name:WEAKLEY, RACHEL (LM)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:WEAKLEY
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20614 OAK PASS AVE
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-6311
Mailing Address - Country:US
Mailing Address - Phone:661-805-4164
Mailing Address - Fax:
Practice Address - Street 1:21612 GOLDEN HILLS BLVD APT A
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-8997
Practice Address - Country:US
Practice Address - Phone:661-805-4164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA489176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife