Individual
REBECCA LYNN GEORGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
4710 E BROADWAY, SUITE 190, MADISON, WI 53716-4103
(608) 222-2700
Mailing address
4710 E BROADWAY, SUITE 190, MADISON, WI 53716-4103
(608) 222-2700
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1028
MN
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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