Individual
REBECCA LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 ADAMS ST, MANKATO, MN 56001-6817
(507) 625-7565
(507) 625-2606
Mailing address
1611 CLARE CT, NORTH MANKATO, MN 56003-3404
(507) 317-7308
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
812431
WI
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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