Individual
REBECCA M WHEARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 413-4200
(360) 413-4225
Mailing address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 413-4200
(360) 413-4225
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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