Individual
MRS. YELENA RHINEBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
143 GARDEN HOMES DR, COLVILLE, WA 99114-9229
(509) 684-3701
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 684-3701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011695
NY
363A00000X
Physician Assistant
Primary
PA10005088
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011695
LICENSE NUMBER
NY
Enumeration date
10/09/2007
Last updated
06/22/2021
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