Provider Demographics
NPI:1487959664
Name:NEVAS, RACHEL DEENA (L AC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DEENA
Last Name:NEVAS
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:NEVAS
Other - Last Name:PELED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6310 MONTROSE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4121
Mailing Address - Country:US
Mailing Address - Phone:301-770-0016
Mailing Address - Fax:
Practice Address - Street 1:50 W EDMONSTON DR
Practice Address - Street 2:STE 505
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1228
Practice Address - Country:US
Practice Address - Phone:240-403-0885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01830171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist