Mica Rae, Llc.

NPI #1477365856 in Delmar, Delaware

Provider Information

NPI Number
1477365856
Entity Type
Organization
Organization Name
Mica Rae, Llc.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 23, 2025
Last Updated
Jan 23, 2025

Practice Location

Address
705 E STATE ST
City
Delmar
ZIP Code
19940-1347
Phone
(302) 212-7994

Authorized Official

Name
MRS. MICA GOEHNER, FNP-C
Title
OWNER/OPERATOR
Phone
(302) 212-7994

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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