| Doctor Name: | RAQUEL BRANOM |
| NPI Number: | 1063826238 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, RN, ACNS-BC |
| License Number: | 383596 |
| Business Practice Address: | 25334 Poderio Dr Ramona, CA - 920654716 |
| Business Phone Number: | 7607898534 |
| Business Fax Number: | |
| Mailing Address: | 25334 Poderio Dr, RAMONA |
| State: | CA |
| Postal Code: | 920654716 |
| Phone Number: | 7607898534 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2014 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | 383596 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |