Individual
DR. REBECCA VENEZUELA OMANA-DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1608 S J ST FL 3, TACOMA, WA 98405-4930
(253) 274-7504
Mailing address
1608 S J ST FL 3, TACOMA, WA 98405-4930
(253) 274-7504
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO60519287
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145783
—
WA
Enumeration date
07/09/2012
Last updated
12/08/2020
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