Individual
RACHEL LEE WEATHERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BSDH, QOM
Contact information
Practice address
800 1ST AVE SW, AUSTIN, MN 55912-2507
(507) 440-8490
Mailing address
800 1ST AVE SW, AUSTIN, MN 55912-2507
(507) 440-8490
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H11087
MN
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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