Individual
MS. REBECCA ELLISOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD CHT BHE
Contact information
Practice address
13207 SQUAWWOOD LN SE, RAINIER, WA 98576-9638
(360) 481-0299
(360) 481-0299
Mailing address
PO BOX 892, RAINIER, WA 98576-0892
(360) 481-0299
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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