Individual
MS. REBECCA LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHAP
Contact information
Practice address
712 OCEAN CAPE ROAD, YAKUTAT, AK 99689-0112
(907) 784-3275
(907) 784-3263
Mailing address
712 OCEAN CAPE ROAD, YAKUTAT, AK 99689-0112
(907) 784-3275
(907) 784-3263
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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