Provider Demographics
NPI:1760108658
Name:MHACHI, RACHIDA
Entity Type:Individual
Prefix:
First Name:RACHIDA
Middle Name:
Last Name:MHACHI
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 1:50 MERIDIAN ST OFC N254
Mailing Address - Street 2:
Mailing Address - City:EAST BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02128-7032
Mailing Address - Country:US
Mailing Address - Phone:617-397-8393
Mailing Address - Fax:
Practice Address - Street 1:50 MERIDIAN ST OFC N254
Practice Address - Street 2:
Practice Address - City:EAST BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-7032
Practice Address - Country:US
Practice Address - Phone:617-397-8393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach