Individual
REBEKAH RARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
922 E FOLGADO CT, KUNA, ID 83634-5181
(208) 320-8438
Mailing address
922 E FOLGADO CT, KUNA, ID 83634-5181
(208) 320-8438
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MASG-1552
ID
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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