Individual
REBECCA NEVINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4833 TUMWATER VALLEY DR SE, TUMWATER, WA 98501-4583
(360) 352-3400
Mailing address
4833 TUMWATER VALLEY DR SE, TUMWATER, WA 98501-4583
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00025372
WA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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