Provider Demographics
NPI:1598486144
Name:YOUNG, RAQUEL BELMONTE
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:BELMONTE
Last Name:YOUNG
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 1:440 CESANO CT APT 109
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-4452
Mailing Address - Country:US
Mailing Address - Phone:650-941-2755
Mailing Address - Fax:
Practice Address - Street 1:440 CESANO CT APT 109
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-4452
Practice Address - Country:US
Practice Address - Phone:650-941-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker