Individual
REBEKAH CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11012 N WILLIAMS ST, DUNNELLON, FL 34432-8319
(352) 465-9369
Mailing address
11012 N WILLIAMS ST, DUNNELLON, FL 34432-8319
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7132
FL
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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