Individual
REBECKA MOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 COX RD, COCOA, FL 32926-4217
(308) 520-3167
Mailing address
1011 LEAVENWORTH ST, OMAHA, NE 68102-2933
(402) 614-4870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11650
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025851800
—
NE
Enumeration date
10/26/2018
Last updated
12/16/2022
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