Individual
REBECCA JANE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1815 D ST, VANCOUVER, WA 98663-3332
(360) 772-6294
Mailing address
1815 D ST, VANCOUVER, WA 98663-3332
(360) 772-6294
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00023541
WA
173C00000X
Reflexologist
MA00023541
WA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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