Individual
HANNAH REBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7501 QUAKER AVE, LUBBOCK, TX 79424-3367
(806) 788-3306
Mailing address
7501 QUAKER AVE, LUBBOCK, TX 79424-3367
(806) 788-3306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
680080
TX
Other
Enumeration date
11/23/2012
Last updated
09/19/2024
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