Individual
REBECCA FAGEN HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S MADISON ST STE 105, BLOOMINGTON, IN 47403-2452
(812) 929-2193
(888) 789-8394
Mailing address
5010 N STONE MILL RD STE B, BLOOMINGTON, IN 47408-9320
(812) 929-2193
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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