Provider Demographics
NPI:1992311989
Name:AIRHEART DE RODRIGUEZ, RACHAEL (OMD)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:
Last Name:AIRHEART DE RODRIGUEZ
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:AIRHEART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5445 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0308
Mailing Address - Country:US
Mailing Address - Phone:702-368-0508
Mailing Address - Fax:702-368-2049
Practice Address - Street 1:5445 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0308
Practice Address - Country:US
Practice Address - Phone:702-368-0508
Practice Address - Fax:702-368-2049
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2032171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist