Provider Demographics
NPI:1417558347
Name:ABARE, RACHEL (OMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ABARE
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5595 KIETZKE LN STE 113
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-3030
Mailing Address - Country:US
Mailing Address - Phone:775-548-6949
Mailing Address - Fax:
Practice Address - Street 1:5595 KIETZKE LN STE 113
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3030
Practice Address - Country:US
Practice Address - Phone:775-548-6949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2031171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist