Individual
REBECCA CATHERINE LUCILLE HAMATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 35TH AVE, GREELEY, CO 80634-3910
(970) 475-0056
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
(615) 425-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004000A
CO
363AM0700X
Medical Physician Assistant
Primary
10004000A
CO
Other
Enumeration date
11/07/2022
Last updated
06/25/2025
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