Provider Demographics
NPI:1639894116
Name:NAMULI, RACHEAL
Entity Type:Individual
Prefix:MS
First Name:RACHEAL
Middle Name:
Last Name:NAMULI
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 1:141 LEGATE HILL RD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5254
Mailing Address - Country:US
Mailing Address - Phone:781-354-0293
Mailing Address - Fax:
Practice Address - Street 1:141 LEGATE HILL RD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5254
Practice Address - Country:US
Practice Address - Phone:781-354-0293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health