Individual
REBECCA BASCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 248-8226
Mailing address
1207 4TH AVE SE, PUYALLUP, WA 98372-3312
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
PC60887712
WA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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