Individual
MISS JILLIAN REBECCA RIFKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EAMP
Contact information
Practice address
9481 OAK BAY RD, PORT LUDLOW, WA 98365-9801
(661) 478-8250
(206) 238-8145
Mailing address
PO BOX 65004, PORT LUDLOW, WA 98365-0004
(661) 478-8250
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
60414217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XDP154A23407
ANTHEM BLUE CROSS
CA
Enumeration date
01/05/2009
Last updated
01/21/2021
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