Individual
MARCENE ELLEN REBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIRECT ENTRY MIDWIFE
Contact information
Practice address
88884 BROWN LN, BANDON, OR 97411-8305
(541) 347-9175
Mailing address
PO BOX 317, 88884 BROWN LANE, BANDON, OR 97411-0317
(541) 347-9175
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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