Individual
REBECCA RAE ENGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 683-9484
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 683-9484
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
376K00000X
Nurse's Aide
37V792360517
OK
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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