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Rachel Anna Southard, DO

Student in an Organized Health Care Education/Training Program in Santa Maria, CA. Individual provider (NPI-1).

NPI number1316634348
StatusActive
Last updated in NPPESApr 19, 2023

Details

NPI
1316634348
Entity type
Individual (NPI-1)
Name
Rachel Anna Southard
Credential
DO
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2023
Certification date
Mar 29, 2023
Last updated
Apr 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1400 E Church St
Santa Maria, CA 93454-5906

Phone 805-739-3000

Mailing address

1400 E Church St
Santa Maria, CA 93454-5906

Phone 805-354-7101

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