Individual
REBECCA LYNN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 1ST AVE NW, BEACH, ND 58621-4307
(710) 590-4157
Mailing address
229 1ST AVE NW, BEACH, ND 58621-4307
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
ADA793067
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56488
MEDICARE PROVIDER NUMBER
ND
Enumeration date
05/20/2015
Last updated
05/20/2015
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