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Individual

DR. REBECCA ANNE MOELLMER

Active
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Individual

DR. REBECCA ANNE MOELLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4602
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E4602
CA DPM LIC
CA
01
ER215W
MEDICARE PTAN NO CA
CA
01
ER215X
MEDICARE PTAN SO CA
CA
Enumeration date
06/08/2006
Last updated
04/11/2013
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