Individual
REBEKAH WASCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21426 STONEBRIDGE CT, DENHAM SPRINGS, LA 70726-7330
(225) 271-4210
Mailing address
21426 STONEBRIDGE CT, DENHAM SPRINGS, LA 70726-7330
(225) 271-4210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10831
AL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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