Provider Demographics
NPI:1255027058
Name:HARRIS-STINSON, RAQUELLE
Entity type:Individual
Prefix:
First Name:RAQUELLE
Middle Name:
Last Name:HARRIS-STINSON
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 1:145 S MANSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-4510
Mailing Address - Country:US
Mailing Address - Phone:734-368-3191
Mailing Address - Fax:
Practice Address - Street 1:41009 E HURON RIVER DR
Practice Address - Street 2:
Practice Address - City:VAN BUREN TWP
Practice Address - State:MI
Practice Address - Zip Code:48111-2843
Practice Address - Country:US
Practice Address - Phone:734-368-3191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula