Individual
REBEKAH GENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2400 S 90TH ST, WEST ALLIS, WI 53227
(414) 328-6210
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3401
WI
Other
Enumeration date
11/04/2024
Last updated
02/25/2025
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