Provider Demographics
NPI:1720853179
Name:HAMMETT, RAQUEL S
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:S
Last Name:HAMMETT
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 1:2250 PAR LN
Mailing Address - Street 2:SUITE 709
Mailing Address - City:WILLOUGHBY HLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094
Mailing Address - Country:US
Mailing Address - Phone:440-497-0664
Mailing Address - Fax:
Practice Address - Street 1:2250 PAR LN
Practice Address - Street 2:SUITE 709
Practice Address - City:WILLOUGHBY HLS
Practice Address - State:OH
Practice Address - Zip Code:44094
Practice Address - Country:US
Practice Address - Phone:440-497-0664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide