Individual
DANA RABOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 GEMSTONE DR, WALLA WALLA, WA 99362-8201
(509) 540-5518
Mailing address
2081 GEMSTONE DR, WALLA WALLA, WA 99362-8201
(509) 540-5518
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR60907080
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR60907080
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
07/27/2020
Last updated
07/27/2020
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