Individual
REBECCA LYNN WYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
601 WHISKEY CREEK RD, WALLOWA, OR 97885-7129
(541) 886-3142
Mailing address
604 E MAIN ST, ENTERPRISE, OR 97828-1502
(541) 610-8870
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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