Individual
REBECCA MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN CWCN
Contact information
Practice address
23915 RD H.5 NW, EPHRATA, WA 98823
(509) 754-2941
(509) 754-1049
Mailing address
POB 100, 23915 RD H.5 NW, EPHRATA, WA 98823
(509) 754-2941
(509) 754-1049
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN00112120
WA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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