Individual
REBECCA LYNNE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3217 126TH ST NW, TULALIP, WA 98271-6030
(425) 210-6601
Mailing address
3217 126TH ST NW, TULALIP, WA 98271-6030
(425) 210-6601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 00107601
WA
Other
Enumeration date
01/06/2009
Last updated
05/04/2017
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