Individual
MARANDA REBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 450-1670
Mailing address
200 COMMODORE ST, PRATT, KS 67124-2903
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
13117382102
KS
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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