Individual
REBEKAH JOY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WALKIN RD, IBERIA, MO 65486-9700
(847) 867-8635
Mailing address
111 WALKIN RD, IBERIA, MO 65486-9700
(847) 867-8635
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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