Individual
REBECCA MOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13004 KLAWOCK-HOLLIS HWY, KLAWOCK, AK 99925
(907) 755-4800
Mailing address
PO BOX 69, KLAWOCK, AK 99925-0069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
31175
AK
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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