Individual
MRS. REBECCA LYNN HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCSN
Contact information
Practice address
185 S. MAIN STREET, ANGELS CAMP, CA 95222
(209) 736-6077
(209) 736-6077
Mailing address
PO BOX 760, ANGELS CAMP, CA 95221-0760
(209) 736-6077
(209) 736-6077
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
844020
CA
Other
Enumeration date
12/21/2020
Last updated
01/04/2021
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