Individual
REBECCA ANN KNODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39860 CALLE CABERNET, TEMECULA, CA 92591-5031
(951) 205-0593
Mailing address
39860 CALLE CABERNET, TEMECULA, CA 92591-5031
(951) 205-0593
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0373945
DRIVER LICENSE
CA
Enumeration date
12/23/2019
Last updated
12/23/2019
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