Healthcare Provider Details

I. General information

NPI: 1104586957
Provider Name (Legal Business Name): RAKAISHA RWANDA HOKES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2021
Last Update Date: 12/21/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HANNAH RAY 7108 SOUTH KANNER HWY
STUART FL
34997-7462
US

IV. Provider business mailing address

HANNAH RAY 7108 SOUTH KANNER HWY
STUART FL
34997-7462
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 855-832-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberUNSURE
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: