Individual
BRENDA KAYE REBARCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1118
Mailing address
604 CHOCTAW ST, ALVA, OK 73717-1626
(580) 327-1118
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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