Individual
REBECA JOY HOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
15777 PORCHLIGHT LN, EDEN PRAIRIE, MN 55347-3575
(651) 238-6624
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2506
MN
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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