Individual
MRS. REBECCA LYNN BANDEEN
Active
Individual
MRS. REBECCA LYNN BANDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN144575
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578670121
—
AZ
Enumeration date
12/02/2019
Last updated
12/02/2019
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