Individual
MRS. REBECCA JANE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
1041 HILL STREET, WISCONSIN RAPIDS, WI 54495
(715) 421-7566
(715) 422-9353
Mailing address
4831 FAIRFIELD DR, PLOVER, WI 54467-4207
(715) 422-9287
(715) 422-9353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719126
WI
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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