Individual
REBEKAH JORDAN CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S NATIONAL AVE # PROF160, SPRINGFIELD, MO 65897-0027
(214) 755-9128
Mailing address
1710 W ERIE ST APT H201, SPRINGFIELD, MO 65807-5649
(214) 755-9128
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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