Individual
RACHAEL LAUREN DEWEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 LAKEVIEW ST, STEELE, AL 35987-2223
(256) 490-1363
Mailing address
PO BOX 145, STEELE, AL 35987-0145
(256) 490-1363
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9900
AL
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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