Individual
REBECCA RENEE LONGFORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 LAURA LN, FERGUS FALLS, MN 56537-2432
(218) 770-6357
Mailing address
101 LAURA LN, FERGUS FALLS, MN 56537-2432
(218) 770-6357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1524844
MN
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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