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Individual

REBEKKA KUZICHEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
15325 N NEWPORT HWY, MEAD, WA 99021-9592
(509) 315-8166
(509) 315-8308
Mailing address
15325 N NEWPORT HWY, MEAD, WA 99021-9592
(509) 315-8166
(509) 315-8308

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61164759
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
05/12/2021
Last updated
05/12/2021
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